Provider Demographics
NPI:1164848214
Name:AMICABLE HEALTHCARE, INC.
Entity type:Organization
Organization Name:AMICABLE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLADAPO
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOSUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-444-4810
Mailing Address - Street 1:15220 32ND AVENUE SOUTH SUITEB
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2179
Mailing Address - Country:US
Mailing Address - Phone:206-246-0550
Mailing Address - Fax:206-246-0562
Practice Address - Street 1:15220 32ND AVE S
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-2179
Practice Address - Country:US
Practice Address - Phone:206-246-0550
Practice Address - Fax:206-246-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.00000215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health