Provider Demographics
NPI:1477065902
Name:HEALTH TECH INC.
Entity type:Organization
Organization Name:HEALTH TECH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:L
Authorized Official - Last Name:GLADNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:509-985-6980
Mailing Address - Street 1:121 EMERALD ACRES DR
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-9558
Mailing Address - Country:US
Mailing Address - Phone:509-985-6980
Mailing Address - Fax:509-697-9583
Practice Address - Street 1:121 EMERALD ACRES DR
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-9558
Practice Address - Country:US
Practice Address - Phone:509-985-6980
Practice Address - Fax:509-697-9583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111907801251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA111907801OtherPROVIDER