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Wilderness Shores Nursing, Llc
Home Health Agency in Maple Valley, Washington
NPI 1073745113

Wilderness Shores Nursing, Llc is a Home Health Agency based in Maple Valley, WA. Wilderness Shores Nursing, Llc practices in Maple Valley, WA. The NPI Number for Wilderness Shores Nursing, Llc is 1073745113 and holds a License No. IHS.FS.60055610 (Washington).

The current practice location address for Wilderness Shores Nursing, Llc is 25614 Lake Wilderness Ln Se, Maple Valley, WA and can be reached out via phone at 206-931-5284 and via fax at 425-413-5116.

Location: 25614 Lake Wilderness Ln Se, Maple Valley, WA, 98038-6019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073745113
Provider Name
Wilderness Shores Nursing, Llc
Credential
Provider Entity Type
Organization
Address
25614 Lake Wilderness Ln Se, Maple Valley, WA, 98038-6019
Phone Number
206-931-5284
Fax Number
425-413-5116
Provider Enumeration Date
08/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25614 Lake Wilderness Ln Se
City
Maple Valley
State
Washington
Zip
98038-6019
Phone Number
206-931-5284
Fax Number
425-413-5116
person
Provider Business Mailing Address Details
Address
25614 Lake Wilderness Ln Se
City
Maple Valley
State
Washington
Zip
98038-6019
Phone Number
206-931-5284
Fax Number
425-413-5116
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
IHS.FS.60055610 (Washington)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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