# KELSEY PARK A.F.H.

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

## Provider details

- **NPI number:** 1215157623
- **Authorized official:** MS. LUCY MURESAN ASSISTANT NURSE (GENERAL MANAGER)
- **Authorized official phone:** (425) 453-0173

## Contact information

- **Practice address:** 12649 SE 4TH PL, BELLEVUE, WA 98005-3507
- **Practice address phone:** (425) 453-0173
- **Practice address fax:** (425) 453-0969
- **Mailing address:** 12649 S.E 4TH PLACE, BELLEVUE, WA 98005-3507
- **Mailing address phone:** (425) 453-0173
- **Mailing address fax:** (425) 453-0969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 36100 | WA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020