Provider Demographics
NPI:1043737018
Name:SYMBOL HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SYMBOL HEALTHCARE, INC.
Other - Org Name:VP HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOCHNOUR
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:208-401-1365
Mailing Address - Street 1:1833 AUBURN WAY N STE G
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-3361
Mailing Address - Country:US
Mailing Address - Phone:253-269-1256
Mailing Address - Fax:253-299-4574
Practice Address - Street 1:1833 AUBURN WAY N STE G
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-3361
Practice Address - Country:US
Practice Address - Phone:253-269-1256
Practice Address - Fax:253-299-4574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60764365253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care