Provider Demographics
NPI:1720793490
Name:ALWAYS BY YOUR SIDE LLC
Entity Type:Organization
Organization Name:ALWAYS BY YOUR SIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANEKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:206-591-0553
Mailing Address - Street 1:3241 35TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2201
Mailing Address - Country:US
Mailing Address - Phone:206-591-0553
Mailing Address - Fax:
Practice Address - Street 1:6021C CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1612
Practice Address - Country:US
Practice Address - Phone:206-591-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service