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Organization
ALPHA SUPPORTED LIVING SERVICES
Active
Organization
ALPHA SUPPORTED LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LIVENGOOD (CHIEF EXECUTIVE OFFICER)
(206) 284-9130
Entity
Organization
Contact information
Practice address
16030 JUANITA WOODINVILLE WAY NE, BOTHELL, WA 98011-5412
(206) 284-9130
(425) 420-1133
Mailing address
16030 JUANITA WOODINVILLE WAY NE, BOTHELL, WA 98011-5412
(206) 284-9130
(425) 420-1133
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
601138481
WA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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