MEDICARE: SYMBOL HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	IHS.FS.60764365	WA

General Provider Information

NPI Number	:	1043737018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYMBOL HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	1833 AUBURN WAY N STE G
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-3361
Country	:	US
Telephone Number	:	253-269-1256
Fax Number	:	253-299-4574

Provider Business Practice Location Address
First Line	:	1833 AUBURN WAY N STE G
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-3361
Country	:	US
Telephone Number	:	253-269-1256
Fax Number	:	253-299-4574

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN J. GOCHNOUR
Credential	:	ESQ.
Telephone Number	:	208-401-1365

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	07/21/2022

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