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Organization
EVERGREEN GOLDEN AGE
Active
Organization
EVERGREEN GOLDEN AGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON LIU (PROVIDER/OWNER)
(425) 900-2848
Entity
Organization
Contact information
Practice address
221 BELMONT TER, MOUNT VERNON, WA 98274-4519
(425) 900-2848
Mailing address
13525 22ND AVE SE, MILL CREEK, WA 98012-5691
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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