Healthcare Provider Details

I. General information

NPI: 1205558525
Provider Name (Legal Business Name): SKURFFY WERKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 W WELLESLEY AVE STE A
SPOKANE WA
99205-1413
US

IV. Provider business mailing address

1616 W WELLESLEY AVE STE A
SPOKANE WA
99205-1413
US

V. Phone/Fax

Practice location:
  • Phone: 509-835-5898
  • Fax: 509-568-0309
Mailing address:
  • Phone: 509-835-5898
  • Fax: 509-568-0309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIK HANSON
Title or Position: OWNER
Credential:
Phone: 509-835-5898