Provider Demographics
NPI:1467001792
Name:CUSMIR, SILVIA (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:CUSMIR
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24502 98TH AVE S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-0004
Mailing Address - Country:US
Mailing Address - Phone:206-304-9179
Mailing Address - Fax:253-246-7198
Practice Address - Street 1:24502 98TH AVE S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-0004
Practice Address - Country:US
Practice Address - Phone:206-304-9179
Practice Address - Fax:253-246-7198
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide