Snohomish in Home Care Services LLC

Organization Active NPI In Home Supportive Care Agency · Index, WA

NPI 1043653389 · NPPES record last updated Apr 16, 2013

Key facts

NPI
1043653389
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
SNOHOMISH IN HOME CARE SERVICES LLC
Practice address
51706 Skyko Dr
Index, WA 98256
Phone
(360) 799-0424
Fax
(360) 799-0424
NPI assigned
Apr 16, 2013
Organization subpart
No

Authorized official

Name
Mr. Allen Terrence Clemens
Title
Owner/Operator
Phone
(360) 799-0424

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X WA Yes

Addresses

Primary practice location

51706 Skyko Dr
Index, WA 98256

Mailing address

PO Box 844
Index, WA 98256-0844
Phone (360) 799-0424

Other providers in Index, WA

All providers in Index, WA · In Home Supportive Care Agency in Washington

Sources for this page

Verify at the official NPI Registry.