# BELLEVUE ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1346759750
- **Authorized official:** XING TIAN (V P)
- **Authorized official phone:** (206) 403-3706

## Contact information

- **Practice address:** 1603 143RD AVE NE, BELLEVUE, WA 98007-3927
- **Practice address phone:** (206) 403-3706
- **Practice address fax:** (206) 403-3706
- **Mailing address:** PO BOX 7342, BELLEVUE, WA 98008-1342
- **Mailing address phone:** (206) 403-3706
- **Mailing address fax:** (425) 598-2165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 753156 | WA | Yes |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 09/28/2017