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Organization
KBDJ INC
Active
Organization
KBDJ INC
Active
Other names
TENDERCARE LIVING 11
Organization subpart
No
Provider details
NPI number
Authorized official
BUSOLA R JIMOH (OWNER)
(425) 418-1732
Entity
Organization
Contact information
Practice address
8831 CORBIN DR, EVERETT, WA 98204-7149
(425) 418-1732
(425) 582-8161
Mailing address
15119 19TH PL W, LYNNWOOD, WA 98087-8764
(425) 418-1732
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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