Provider Demographics
NPI:1225751092
Name:GALAXY HOME HEALTH LLC
Entity Type:Organization
Organization Name:GALAXY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NGWEH
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-433-8056
Mailing Address - Street 1:22829 SE 239TH CT
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-5052
Mailing Address - Country:US
Mailing Address - Phone:702-788-2378
Mailing Address - Fax:
Practice Address - Street 1:707 S GRADY WAY STE 600
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3227
Practice Address - Country:US
Practice Address - Phone:425-207-7494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care