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Organization
PRISTINE HOUSE LLC
Active
Organization
PRISTINE HOUSE LLC
Active
Other names
Pristine House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA KHADKA RN (RESIDENT MANAGER)
(425) 835-6512
Entity
Organization
Contact information
Practice address
25223 146TH AVE SE, KENT, WA 98042-3410
(253) 236-5352
(253) 236-8730
Mailing address
25223 146TH AVE SE, KENT, WA 98042-3410
(425) 835-6512
(253) 236-8730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139440
—
WA
Enumeration date
05/13/2020
Last updated
08/27/2024
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