# PINECONE HEIGHTS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crest Manor AFH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770910663
- **Authorized official:** SUSAN J HOLLIDAY (PRESIDENT)
- **Authorized official phone:** (206) 940-1020

## Contact information

- **Practice address:** 1171 CAMAS AVE NE, RENTON, WA 98056-2918
- **Practice address phone:** (206) 940-1020
- **Practice address fax:** (425) 523-3990
- **Mailing address:** 10541 SE 226TH ST, KENT, WA 98031-2621
- **Mailing address phone:** (206) 940-1020
- **Mailing address fax:** (425) 523-3990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 752487 | WA | Yes |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 320914 | CLIENT SERVICE CONTRACT | WA |