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Organization
VERDANT GROVE ADULT FAMILY HOME, LLC
Active
Organization
VERDANT GROVE ADULT FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIA PEROS SADUCOS (PROVIDER)
(206) 694-3513
Entity
Organization
Contact information
Practice address
9644 54TH AVE S, SEATTLE, WA 98118-5705
(206) 722-2766
Mailing address
9650 54TH AVE S, SEATTLE, WA 98118-5705
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
751083
WA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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