# THISTLE CROFT LLC

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

## Provider details

- **NPI number:** 1598541864
- **Authorized official:** GAVINA BAH (MANAGER)
- **Authorized official phone:** (425) 760-8551

## Contact information

- **Practice address:** 510 MADISON ST, EVERETT, WA 98203-4441
- **Practice address phone:** (425) 760-8551
- **Mailing address:** PO BOX 214, MUKILTEO, WA 98275-0214

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2023
- **Last updated:** 09/04/2023