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SKAGIT HOSPICE SERVICES, LLC.

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Company Details

Legal Name: SKAGIT HOSPICE SERVICES, LLC.
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 17th 2003
Expiration date: 30 Nov 2025
UBI Number: 602 332 748
ZIP code: 98273
City: Mount Vernon
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 227 FREEWAY DR, SUITE A, MOUNT VERNON, WA, 98273-2887, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $244,907

Contact Details

E-Mail: BLAWS@HOSPICENW.ORG
Phone Number: +1 360-814-5550

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role
TED BROCKMANN Governing Person
CAROL HAWK Governing Person
ROBERT LAWS Governing Person
JONATHAN LYONS Governing Person
DANNY VERA Governing Person

National Provider Identifier

NPI Number:
1144690876

Authorized Person:

Name:
TOM C. LITAKER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
3608145591
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