# JORGE ALEXANDER FLOREZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Millcreek AFH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245029693
- **Authorized official:** JORGE A FLOREZ (OWNER/PROVIDER)
- **Authorized official phone:** (425) 750-5803

## Contact information

- **Practice address:** 17734 2ND PL NE, SHORELINE, WA 98155-3504
- **Practice address phone:** (425) 750-5803
- **Mailing address:** 16000 75TH PL W, EDMONDS, WA 98026-4524
- **Mailing address phone:** (425) 750-5803

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2025
- **Last updated:** 05/02/2025