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Organization
BELLEVUE HAVEN ADULT FAMILY HOME, INC.
Active
Organization
BELLEVUE HAVEN ADULT FAMILY HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATIVIDAD ALVIZ CORPUZ R.N. (VICE-PRESIDENT/SECRETARY)
(206) 372-2563
Entity
Organization
Contact information
Practice address
2202 144TH AVE SE, BELLEVUE, WA 98007-6220
(425) 223-5740
(425) 644-2462
Mailing address
4932 163RD PL SE, BELLEVUE, WA 98006-4733
(206) 372-2563
(425) 644-2462
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750002
WA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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