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Organization
BROADVIEW DEVELOPMENT ASSOCIATES II
Active
Organization
BROADVIEW DEVELOPMENT ASSOCIATES II
Active
Other names
Ida Culver House Broadview Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L TRAVERS NHA (DIRECTOR OF CLINICAL SERVICES ADMIN)
(206) 368-3797
Entity
Organization
Contact information
Practice address
12505 GREENWOOD AVE N, SEATTLE, WA 98133
(206) 368-3797
(206) 368-3756
Mailing address
12505 GREENWOOD AVE N, SEATTLE, WA 98133
(206) 368-3797
(206) 368-3756
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
945
WA
314000000X
Skilled Nursing Facility
Primary
1065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4110656
—
WA
01
—
CU2614
REGENCE BLUE SHIELD
—
Enumeration date
04/28/2006
Last updated
05/28/2015
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