Provider Demographics
NPI:1932666328
Name:RODAS LLC
Entity Type:Organization
Organization Name:RODAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE DELEGATOR
Authorized Official - Prefix:
Authorized Official - First Name:NARDOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TESFAHUNEGN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-303-0540
Mailing Address - Street 1:18315 6TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3530
Mailing Address - Country:US
Mailing Address - Phone:206-303-0540
Mailing Address - Fax:425-672-7968
Practice Address - Street 1:18315 6TH AVE NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-3530
Practice Address - Country:US
Practice Address - Phone:206-303-0540
Practice Address - Fax:425-672-7968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty