Provider Demographics
NPI:1134376320
Name:ET ENTERPRISES, INC.
Entity type:Organization
Organization Name:ET ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ETIENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-943-1603
Mailing Address - Street 1:32020 1ST AVE S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5717
Mailing Address - Country:US
Mailing Address - Phone:253-943-1603
Mailing Address - Fax:253-943-1604
Practice Address - Street 1:32020 1ST AVE S
Practice Address - Street 2:SUITE 101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5717
Practice Address - Country:US
Practice Address - Phone:253-943-1603
Practice Address - Fax:253-943-1604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-328251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health