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NPI Provider: 1063418093
Contact Name: McIntosh Regina
Position: President
Phone: (423) 473-5268
Life Care At Home Of Wa, Inc Information:
Life Care At Home Of Wa, Inc organization have npi 1063418093, taxonomy code is 251E00000X with license number is IS364 in . This Business address located in PO Box 3480, Cleveland, TN 37320 Tennessee. Get directions of Life Care At Home Of Wa, Inc.
Practice Location
Address: 1423 6th St, Marysville, WA 98270
Phone: (360) 659-1487
Business Location
Address: PO Box 3480, Cleveland, TN 37320
Phone: (423) 473-5256
Fax: (423) 339-8356
Taxonomy
Taxonomy Code: 251E00000X
License Number: IS364
License Number of State: WA
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2005
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