Provider Demographics
NPI:1376741876
Name:HORIZON HOUSE
Entity Type:Organization
Organization Name:HORIZON HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES OFFI
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WARFIELD-LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:NHA, OTR/L
Authorized Official - Phone:206-382-5460
Mailing Address - Street 1:900 UNIVERSITY ST.
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101
Mailing Address - Country:US
Mailing Address - Phone:206-382-3210
Mailing Address - Fax:206-748-7277
Practice Address - Street 1:900 UNIVERSITY ST.
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101
Practice Address - Country:US
Practice Address - Phone:206-382-3234
Practice Address - Fax:206-748-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006412363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty