# AMAZING SAMAR ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1407664337
- **Authorized official:** SAMMY BIWOTT CNA, HEALTH CARE MGT (PROVIDER/OWNER)
- **Authorized official phone:** (425) 503-2432

## Contact information

- **Practice address:** 2314 LARLIN DR, EVERETT, WA 98203-6932
- **Practice address phone:** (425) 503-2432
- **Practice address fax:** (425) 405-3622
- **Mailing address:** 2314 LARLIN DR, EVERETT, WA 98203-6932
- **Mailing address phone:** (425) 503-2432
- **Mailing address fax:** (425) 405-3622

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2024
- **Last updated:** 12/23/2024