Healthcare Provider Details

I. General information

NPI: 1962814384
Provider Name (Legal Business Name): NIKKEI CONCERNS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E YESLER WAY
SEATTLE WA
98122-5640
US

IV. Provider business mailing address

1601 E YESLER WAY
SEATTLE WA
98122-5640
US

V. Phone/Fax

Practice location:
  • Phone: 206-725-6504
  • Fax: 206-391-4213
Mailing address:
  • Phone: 206-726-6504
  • Fax: 206-391-4213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number679
License Number StateWA

VIII. Authorized Official

Name: RANDI SAETER
Title or Position: ADMINISTRATOR
Credential: MBA,RD
Phone: 206-726-6504