Provider Demographics
NPI:1013616705
Name:RUTMWA HEALTHCARE
Entity Type:Organization
Organization Name:RUTMWA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:MWAURA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:865-340-3485
Mailing Address - Street 1:32020 1ST AVE S STE 105
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5718
Mailing Address - Country:US
Mailing Address - Phone:253-600-5065
Mailing Address - Fax:
Practice Address - Street 1:32020 1ST AVE S STE 105
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5718
Practice Address - Country:US
Practice Address - Phone:253-600-5065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care