Provider Demographics
NPI:1811451180
Name:SUREWELLNESS HEALTH SERVICES INC
Entity type:Organization
Organization Name:SUREWELLNESS HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:DAISI
Authorized Official - Middle Name:A
Authorized Official - Last Name:OMOYAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-397-7718
Mailing Address - Street 1:1720 S 341ST PL STE C2
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6869
Mailing Address - Country:US
Mailing Address - Phone:206-397-7718
Mailing Address - Fax:206-592-2559
Practice Address - Street 1:1720 S 341ST PL STE C2
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6869
Practice Address - Country:US
Practice Address - Phone:206-397-7718
Practice Address - Fax:206-592-2559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health