# SHILOH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174740112
- **Authorized official:** MR. JEAN BOLDOR (MENAGER)
- **Authorized official phone:** (425) 643-4669

## Contact information

- **Practice address:** 16505 SE 30TH ST, UNIT 1, BELLEVUE, WA 98008-5625
- **Practice address phone:** (425) 643-4669
- **Practice address fax:** (425) 643-8693
- **Mailing address:** 16505 SE 30TH ST, BELLEVUE, WA 98008-5625
- **Mailing address phone:** (425) 643-4669
- **Mailing address fax:** (425) 643-8693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 300503 | WA | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020