Decorum Private Healthcare LLC
Home Health Aide in Everett, WA. Organization (NPI-2).
NPI number1548045552
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1548045552
- Entity type
- Organization (NPI-2)
- Legal business name
- Decorum Private Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Other names
- Decorum Private Healthcare LLC (Doing Business As)
Practice location
11030 7th Ave Se Apt E219Everett, WA 98208-4072
Phone 206-650-0517 · Fax 800-475-9684
Mailing address
11030 7th Ave Se Apt E219Everett, WA 98208-4072
Phone 206-650-0517 · Fax 800-475-9684
Authorized official
Nawapa Regina Bukenya
Owner
2066500517
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