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Organization
PRISTINE HOUSE RENTON LLC
Active
Organization
PRISTINE HOUSE RENTON LLC
Active
Other names
Pristine House Renton LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA KHADKA (OWNER/RN)
(425) 282-4501
Entity
Organization
Contact information
Practice address
15207 SE 178TH PL, RENTON, WA 98058-9049
(425) 282-4501
(425) 282-4588
Mailing address
15207 SE 178TH PL, RENTON, WA 98058-9049
(425) 496-4238
(425) 282-4588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
12/06/2023
Last updated
11/01/2024
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