Healthcare Provider Details

I. General information

NPI: 1376531996
Provider Name (Legal Business Name): SAINT ANNE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 NE 110TH ST
SEATTLE WA
98125-5761
US

IV. Provider business mailing address

3540 NE 110TH ST
SEATTLE WA
98125-5761
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-7733
  • Fax: 206-363-1876
Mailing address:
  • Phone: 206-363-7733
  • Fax: 206-363-1876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH 1323
License Number StateWA

VIII. Authorized Official

Name: MRS. SUSAN L. PAULSEN
Title or Position: VICE-PRESIDENT
Credential:
Phone: 425-489-3416