Provider Demographics
NPI:1235695453
Name:HUNT, DEBORAH KAYE
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAYE
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 E MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9206
Mailing Address - Country:US
Mailing Address - Phone:509-443-5033
Mailing Address - Fax:509-443-5025
Practice Address - Street 1:227 E MIDWAY RD
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9206
Practice Address - Country:US
Practice Address - Phone:509-443-5033
Practice Address - Fax:509-443-5025
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602480984311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home