Provider Demographics
NPI:1942199823
Name:MASTERCARE SENIOR LIVING SOLUTIONS, LLC
Entity type:Organization
Organization Name:MASTERCARE SENIOR LIVING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCKUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-323-6601
Mailing Address - Street 1:9301 110TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-3730
Mailing Address - Country:US
Mailing Address - Phone:253-323-6601
Mailing Address - Fax:253-323-6601
Practice Address - Street 1:9301 110TH ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-3730
Practice Address - Country:US
Practice Address - Phone:253-323-6601
Practice Address - Fax:253-323-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty