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Contact Information

ILLAHEE HOME CORP
1130 N STATE ST
BELLINGHAM, WA98225-5014
 Phone: 360-676-4485
 Fax: 360-714-1294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Adult Mental Health

261QM0850X
 

Community/Behavioral Health

251S00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ILLAHEE HOME CORP · (Female)

NPI Number 1265982763
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2016
Last updated 01/07/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # CO60545681
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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