# CORDIAL PALACE B AFH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORDIAL PALACE B AFH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700620531
- **Authorized official:** PURITY WAKABA (OWNER)
- **Authorized official phone:** (253) 226-4800

## Contact information

- **Practice address:** 9105 78TH ST SW, LAKEWOOD, WA 98498-3903
- **Practice address phone:** (253) 226-4800
- **Mailing address:** 9105 78TH ST SW, LAKEWOOD, WA 98498-3903
- **Mailing address phone:** (253) 226-4800

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2024
- **Last updated:** 06/25/2024