Healthcare Provider Details

I. General information

NPI: 1699922179
Provider Name (Legal Business Name): ANNETTE HOBBS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W BARRETT ST 201
SEATTLE WA
98199-2969
US

IV. Provider business mailing address

2000 W BARRETT ST 201
SEATTLE WA
98199-2969
US

V. Phone/Fax

Practice location:
  • Phone: 206-313-5659
  • Fax:
Mailing address:
  • Phone: 206-313-5659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberMA00013748
License Number StateWA

VIII. Authorized Official

Name: ANNETTE HOBBS
Title or Position: PRESIDENT
Credential: LMP
Phone: 206-313-5659