Provider Demographics
NPI:1407277049
Name:INTEGRITY HOME CARE LLC
Entity Type:Organization
Organization Name:INTEGRITY HOME CARE LLC
Other - Org Name:AVALON ADULT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:
Authorized Official - Last Name:URETA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:253-924-0194
Mailing Address - Street 1:1401 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-8802
Mailing Address - Country:US
Mailing Address - Phone:253-924-0194
Mailing Address - Fax:
Practice Address - Street 1:1401 8TH AVE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WA
Practice Address - Zip Code:98354-8802
Practice Address - Country:US
Practice Address - Phone:253-924-0194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRITY HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-28
Last Update Date:2013-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA750761311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home