# KBDJ INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TENDERCARE LIVING 11
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073201067
- **Authorized official:** BUSOLA R JIMOH (OWNER)
- **Authorized official phone:** (425) 418-1732

## Contact information

- **Practice address:** 8831 CORBIN DR, EVERETT, WA 98204-7149
- **Practice address phone:** (425) 418-1732
- **Practice address fax:** (425) 582-8161
- **Mailing address:** 15119 19TH PL W, LYNNWOOD, WA 98087-8764
- **Mailing address phone:** (425) 418-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2023
- **Last updated:** 04/27/2023