Organization · Type 2 NPI
Shield California Health Care Center, Inc.
Parenteral & Enteral Nutrition Supplies (DME) · Tukwila, WA
NPI number
1063656320
Active
Practice location
615 Strander Blvd
Tukwila, WA 98188-2922
Fax (206) 575-6765
Mailing address
27911 Franklin Pkwy
Valencia, CA 91355-4110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 09-1717 (WA) |
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | None listed |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
About NPI 1063656320
Shield California Health Care Center, Inc.'s National Provider Identifier is 1063656320, issued on Apr 29, 2009. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Tukwila, WA. The record was last updated on Jan 14, 2025.