Provider Demographics
NPI:1285261321
Name:WESSICARE HOMEHEALTH & CONCIERGE SERVICES L.L.C
Entity type:Organization
Organization Name:WESSICARE HOMEHEALTH & CONCIERGE SERVICES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTER NURSE
Authorized Official - Prefix:
Authorized Official - First Name:WOSENYELSH
Authorized Official - Middle Name:ASSEFA
Authorized Official - Last Name:ABEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-313-5590
Mailing Address - Street 1:2711 NE 115TH ST APT 203
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5338
Mailing Address - Country:US
Mailing Address - Phone:206-313-5590
Mailing Address - Fax:
Practice Address - Street 1:2711 NE 115TH ST APT 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5338
Practice Address - Country:US
Practice Address - Phone:206-313-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care