Provider Demographics
NPI:1659641488
Name:AMDG VENTURES, INC.
Entity type:Organization
Organization Name:AMDG VENTURES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-656-8811
Mailing Address - Street 1:6632 S 191ST PL
Mailing Address - Street 2:SUITE E100
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2117
Mailing Address - Country:US
Mailing Address - Phone:424-656-8811
Mailing Address - Fax:425-656-9015
Practice Address - Street 1:6632 S 191ST PL
Practice Address - Street 2:SUITE E100
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2117
Practice Address - Country:US
Practice Address - Phone:424-656-8811
Practice Address - Fax:425-656-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60029743253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care