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NPI Code Detail

MEDICARE: MABROOK LLC

MEDICARE: MABROOK LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1336087451
Entity Type Code : Organization
Provider Name (Legal Business Name) : MABROOK LLC
Provider Business Mailing Address
First Line : 4408 31ST AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6727 MLK JR WAY S STE E
Second Line :
City : SEATTLE
State : WA
Zip : 98118-3205
Country : US
Telephone Number : 206-785-5269
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : HUSSAIN Y MOHAMED
Credential :
Telephone Number : 206-785-5269
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “MABROOK LLC ” Practice Location

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