NPI 1124653993 · live from the CMS NPI Registry
Consumer Direct Care Network Washington, LLC
Home Health in Lacey, WA. National Provider Identifier 1124653993, active.
NPI record
| NPI | 1124653993 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 612 Woodland Square Loop Se, Lacey, WA 98503 |
| Practice phone | 866-438-8591 |
| Mailing address | 100 Consumer Direct Way, Missoula, MT 59808 |
| Enumerated | March 11, 2020 |
| Last updated | June 8, 2021 |
| Authorized official | Ben Bledsoe, President/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care | 253Z00000X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.