Organization Name: | PILGRIM CARE INC. |
NPI Number: | 1376974188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEO SATRIAWAN (PRINCIPAL) |
Mailing Address: | 402 S 333rd St Federal Way |
State: | WA US |
Postal Code: | 980036309 |
Phone Number: | 2535173130 |
Fax Number: | 8772606243 |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 60388762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |