# GREEN PINE CARE SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649686387
- **Authorized official:** MRS. QING XIU JI BUDNICK (OWNER)
- **Authorized official phone:** (206) 388-7318

## Contact information

- **Practice address:** 4461 SW 313TH ST, FEDERAL WAY, WA 98023-2146
- **Practice address phone:** (206) 388-7318
- **Mailing address:** 4461 SW 313TH ST, FEDERAL WAY, WA 98023-2146
- **Mailing address phone:** (206) 388-7318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 752632 | WA | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014