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General NPI Number Information
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NPI Number | 1730327453
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Entity Type | Organization
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Legal Business Name | HOMEWELL SENIOR CARE, INC.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 5108 196TH ST SW STE 330
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City | LYNNWOOD
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State | WA
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Zip | 98036-6152
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Country | US
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Telephone | 425-967-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 196TH ST SW STE 330
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City | LYNNWOOD
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State | WA
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Zip | 98036-6152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. JOSHUA HOFFMAN
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Credential |
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Telephone | 425-967-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHS.FS.00000331
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License Number State | WA
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