# ABBEY ROAD CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kingsgate Highlands Adult Family Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194358572
- **Authorized official:** MS. JANE THUO LPN (OWNER)
- **Authorized official phone:** (978) 397-2282

## Contact information

- **Practice address:** 11722 NE 134TH ST, KIRKLAND, WA 98034-2130
- **Practice address phone:** (425) 821-2838
- **Practice address fax:** (425) 522-4394
- **Mailing address:** 11722 NE 134TH ST, KIRKLAND, WA 98034-2130
- **Mailing address phone:** (425) 821-2838
- **Mailing address fax:** (425) 522-4394

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 05/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2134819 | — | WA |