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Dereje G Lulu, NAC,
Home Health Agency in Seattle, Washington
NPI 1336482280

Dereje G Lulu is a Home Health Agency based in Seattle, WA. Dereje G Lulu practices in Seattle, WA and has the professional credentials of NAC,. The NPI Number for Dereje G Lulu is 1336482280 and holds a License No. (Washington).

The current practice location address for Dereje G Lulu is 14100 Linden Ave N, Seattle, WA and can be reached out via phone at 206-414-4710 and via fax at 206-494-7848. You can also correspond with Dereje G Lulu through the mailing address at 14100 LINDEN AVE N, SEATTLE, WA - 98133-7154 (mailing address contact number: 206-549-9648).

Location: 14100 Linden Ave N, Seattle, WA, 98133-7154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336482280
Provider Name
Dereje G Lulu
Credential
NAC,
Provider Entity Type
Individual
Gender
Male
Address
14100 Linden Ave N, Seattle, WA, 98133-7154
Phone Number
206-414-4710
Fax Number
206-494-7848
Provider Enumeration Date
03/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IHS.FS.60405684 01 WA WASHINGTON STATE HOME CARE AGENCE LICENSES PERMITSAND CERTIFICATES
institution
Provider Business Practice Location Address Details
Address
14100 Linden Ave N
City
Seattle
State
Washington
Zip
98133-7154
Phone Number
206-414-4710
Fax Number
206-494-7848
person
Provider Business Mailing Address Details
Address
14100 Linden Ave N
City
Seattle
State
Washington
Zip
98133-7154
Phone Number
206-414-4710
Fax Number
206-494-7848
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
IHS.FS.60405684 (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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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