Nelya S Terletska
Individual provider Active NPI Adult Care Home Facility · Algona, WA
NPI 1235303637 · NPPES record last updated Apr 16, 2008
Key facts
- NPI
- 1235303637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Practice address
- 325 5TH Ave N
Algona, WA 98001-4421 - Phone
- (253) 887-9760
- Fax
- (253) 887-8310
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602640935 | WA | MD | Adult Care Home Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | WA | Yes |
Addresses
Primary practice location
325 5TH Ave N
Algona, WA 98001-4421
Mailing address
325 5TH Ave N
Algona, WA 98001-4421
Phone (253) 887-9760
Other providers in Algona, WA
- Christopher Allen McDonald
- Georgette F Mendez
- Derric L Miller
- Jessica Kathleen Parker
- Tarandeep Singh
All providers in Algona, WA · Adult Care Home Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.