Provider Demographics
NPI:1497447379
Name:SEATTLE VIEW LLC
Entity Type:Organization
Organization Name:SEATTLE VIEW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALECZAE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-361-1377
Mailing Address - Street 1:225 HANCOCK ST APT 520
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-2854
Mailing Address - Country:US
Mailing Address - Phone:330-361-1377
Mailing Address - Fax:
Practice Address - Street 1:225 HANCOCK ST APT 520
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-2854
Practice Address - Country:US
Practice Address - Phone:330-361-1377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health