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General NPI Number Information
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NPI Number | 1790996536
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Entity Type | Organization
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Legal Business Name | MILLENNIA HEALTHCARE, INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 21400 INTERNATIONAL BLVD SUITE 205
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City | SEATAC
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State | WA
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Zip | 98198-6086
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Country | US
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Telephone | 206-878-0909
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Fax | 206-878-5259
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Provider Business Mailing Address
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Address Line | 21400 INTERNATIONAL BLVD SUITE 303
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City | SEATAC
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State | WA
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Zip | 98198
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Country | US
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Telephone | 206-878-0909
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Fax | 206-878-5259
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAWRENCE OBIECHINA UDE
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Credential |
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Telephone | 206-878-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IS-377
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License Number State | WA
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