Provider Demographics
NPI:1033769153
Name:DISABLED COMANION SERVICES
Entity Type:Organization
Organization Name:DISABLED COMANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:206-619-1466
Mailing Address - Street 1:24502 98TH AVE S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-0004
Mailing Address - Country:US
Mailing Address - Phone:206-619-1466
Mailing Address - Fax:253-246-7198
Practice Address - Street 1:24502 98TH AVE S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-0004
Practice Address - Country:US
Practice Address - Phone:206-619-1466
Practice Address - Fax:253-246-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health