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Organization
ELEVATED CARE LLC
Active
Organization
ELEVATED CARE LLC
Active
Other names
Courtly Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LE DO (PHYSICIAN)
(206) 395-4748
Entity
Organization
Contact information
Practice address
23511 MARINE VIEW DR S, DES MOINES, WA 98198-7351
(206) 395-4748
Mailing address
23511 MARINE VIEW DR S, DES MOINES, WA 98198-7351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
01/06/2023
Last updated
04/03/2023
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