Wilderness Shores Nursing, Llc

NPI 1073745113 - Home Health - 251E00000X

NPI Details
NPI 1073745113
Enumeration Date 08/21/2009
Last Updated 08/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SHIRLEY ANN SHIRLEY
Position ADMINISTRATOR
Phone (206) 931-5284
Fax (425) 413-5116
Practice Location
25614 LAKE WILDERNESS LN SE
MAPLE VALLEY WA, 98038-6019, US
Phone (206) 931-5284
Fax (425) 413-5116
Business Location
25614 LAKE WILDERNESS LN SE
MAPLE VALLEY WA, 98038-6019, US
Phone (206) 931-5284
Fax (425) 413-5116
Toxanomy
Taxonomy Code 251E00000X
License State Washington
License Number IHS.FS.60055610
Remove 1073745113 NPI Number
 

According to our database, Wilderness Shores Nursing, Llc NPI is 1073745113, taxonomy code is 251E00000X and license number is IHS.FS.60055610, license state is located at Washington. Wilderness Shores Nursing, Llc physically located at 25614 Lake Wilderness Ln Se, Maple Valley WA, 98038-6019. NPI Number 1033115704 has the healthcare provider type.

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1073745113 NPI number is provided on an as is basis without warranty of any kind. 1073745113 is maintained by the National Plan & Provider Enumeration System. The contents of Wilderness Shores Nursing, Llc are for informational purposes only.