Provider Demographics
NPI:1295121499
Name:RESCARE WASHINGTON INC
Entity type:Organization
Organization Name:RESCARE WASHINGTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-899-5013
Mailing Address - Street 1:136 N BROADMORE WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-5187
Mailing Address - Country:US
Mailing Address - Phone:208-468-9504
Mailing Address - Fax:208-468-9496
Practice Address - Street 1:136 N BROADMORE WAY STE 101
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-5187
Practice Address - Country:US
Practice Address - Phone:208-468-9504
Practice Address - Fax:208-468-9496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care