Individual provider · Type 1 NPI
Illyne Mutusva
Attendant Care Provider · Sumner, WA
Practice location
1631 Gault St
Sumner, WA 98390-1238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | 759335 (WA) |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
About NPI 1831093301
Illyne Mutusva's National Provider Identifier is 1831093301, issued on Oct 7, 2026. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Sumner, WA. The record was last updated on Oct 7, 2026.