Provider Demographics
NPI:1790546190
Name:RKL GROUP, INC
Entity Type:Organization
Organization Name:RKL GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALBERTSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-622-4663
Mailing Address - Street 1:3221 EASTLAKE AVE E STE 120
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-7125
Mailing Address - Country:US
Mailing Address - Phone:206-622-4663
Mailing Address - Fax:206-622-4663
Practice Address - Street 1:3221 EASTLAKE AVE E STE 120
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-7125
Practice Address - Country:US
Practice Address - Phone:206-622-4663
Practice Address - Fax:206-622-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care