Provider Demographics
NPI:1083123640
Name:A & K HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:A & K HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIWELI
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-313-8687
Mailing Address - Street 1:19019 INTERNATIONAL BLVD # 231
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5207
Mailing Address - Country:US
Mailing Address - Phone:206-313-8687
Mailing Address - Fax:
Practice Address - Street 1:2418 SW ROXBURY ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2648
Practice Address - Country:US
Practice Address - Phone:206-313-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health