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Contact Information

YOUR FOREVER HOME, PLLC
1581 NE OHARA HILLS DR
POULSBO, WA98370-6952
 Phone: 360-621-3341
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for YOUR FOREVER HOME, PLLC

NPI Number 1033655816
LBN Legal business name YOUR FOREVER HOME, PLLC
Authorized official CARRIE MARCELLO - (OCCUPATIONAL THERAPIST, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2017
Last updated 01/17/2017 - About 9 years ago
Identifiers
WA License # OT 60066956
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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