Provider Demographics
NPI:1790209229
Name:A CARING NURSE DELEGATOR AND HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:A CARING NURSE DELEGATOR AND HEALTH CARE SERVICES LLC
Other - Org Name:A CARING NURSE DELEGATOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIYAOKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-859-3355
Mailing Address - Street 1:10016 EDMONDS WAY STE C113
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-5107
Mailing Address - Country:US
Mailing Address - Phone:206-859-3355
Mailing Address - Fax:
Practice Address - Street 1:1804 NW 200TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2242
Practice Address - Country:US
Practice Address - Phone:206-859-3355
Practice Address - Fax:206-456-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60138368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty