NPI 1194223412

International Community Health Services

Organisation Assisted Living Facility Seattle, WA

Practice location

Address: 803 S Lane St, Seattle, WA 98104-3044
Phone: (206) 788-3759
Mailing address: PO Box 3007, Seattle, WA 98114-3007

Authorised official

Name: Hermes Shahbazian
Title: Cfo
Phone: (206) 788-3618

Registered specialties (6)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Meals Provider

Other Service Providers Taxonomy 174200000X

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PACE Provider Organization

Agencies Taxonomy 251T00000X

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Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

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Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1194223412
Entity type: Organization
NPI issued: 1 Feb 2018
Record last updated: 26 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.