MARY PRATHER NPI 1093115263

NPI Information

  • NPI: 1093115263
  • Provider Name: MARY PRATHER
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 720 SHOESHEL DR
    SEDRO WOOLLEY, WA
    ZIP 98284
  • Phone: (360) 854-1891

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NPI Details

Mary Prather is an assisted living facility in Sedro Woolley, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Mary Prather NPI is 1093115263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 SHOESHEL DR
SEDRO WOOLLEY, WA
ZIP 98284-311
Phone: (360) 854-1891

The enumeration date for this NPI number is 8/25/2014 and was last updated on 8/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1276-756MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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