Provider Demographics
NPI:1427502210
Name:SFOREST, INC.
Entity type:Organization
Organization Name:SFOREST, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FOREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-264-2402
Mailing Address - Street 1:116 LEE ST SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6721
Mailing Address - Country:US
Mailing Address - Phone:360-915-6183
Mailing Address - Fax:360-972-2365
Practice Address - Street 1:116 LEE ST SE
Practice Address - Street 2:SUITE C
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-6721
Practice Address - Country:US
Practice Address - Phone:360-915-6183
Practice Address - Fax:360-972-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60653551251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health