MEDICARE: ALWAYS BY YOUR SIDE 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
1	305S00000X	Point of Service

General Provider Information

NPI Number	:	1720793490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALWAYS BY YOUR SIDE LLC

Provider Business Mailing Address
First Line	:	3241 35TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-2201
Country	:	US
Telephone Number	:	206-591-0553
Fax Number	:

Provider Business Practice Location Address
First Line	:	6021C CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1612
Country	:	US
Telephone Number	:	206-591-0555
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ANEKE ROACH
Credential	:	LM
Telephone Number	:	206-591-0553

Provider Enumeration Date	:	01/17/2023
Last Update Date	:	01/17/2023

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Directions to “ALWAYS BY YOUR SIDE LLC ” Practice Location

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