# 1 JOYFUL ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1447944475
- **Authorized official:** RUTH BISHU (OWNER)
- **Authorized official phone:** (206) 313-4816

## Contact information

- **Practice address:** 16919 29TH DR SE, BOTHELL, WA 98012-6628
- **Practice address phone:** (425) 485-9100
- **Practice address fax:** (425) 949-8234
- **Mailing address:** 1826 N 198TH ST, SHORELINE, WA 98133-3711
- **Mailing address phone:** (206) 313-4816

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023