# ARCADIA ADULT FAMILY HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arcadia Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639577984
- **Authorized official:** MRS. OLGA M SMIRNOVA (OWNER, ADMINISTRATOR)
- **Authorized official phone:** (360) 739-8859

## Contact information

- **Practice address:** 910 38TH ST, BELLINGHAM, WA 98229-3158
- **Practice address phone:** (360) 752-1655
- **Practice address fax:** (360) 756-0840
- **Mailing address:** 910 38TH ST, BELLINGHAM, WA 98229-3158
- **Mailing address phone:** (360) 752-1655
- **Mailing address fax:** (360) 756-0840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | A694000 | WA | Yes |

## Other

- **Enumeration date:** 12/17/2014
- **Last updated:** 12/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 449929 | SOCIAL SERVICE PAYMENT SYSTEM (SSPS) | WA |
| 05 | — | 449929 | — | WA |