Healthcare Provider Details
I. General information
NPI: 1235798190
Provider Name (Legal Business Name): AARON AND HUR HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2019
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
907 W BOONE AVE STE B
SPOKANE WA
99201-2503
US
IV. Provider business mailing address
907 W BOONE AVE STE B
SPOKANE WA
99201-2503
US
V. Phone/Fax
- Phone: 509-822-8060
- Fax:
- Phone: 509-822-8060
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SH0200X |
| Taxonomy | Home Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WON
KANG
SONG
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 240-899-0319