# FRASCO & SARAUSAD BEVERLY LANE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frasco & Sarausad Beverly Lane Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841008448
- **Authorized official:** MR. CESAR FRASCO SARAUSAD II (EMPLOYEE)
- **Authorized official phone:** (425) 435-6594

## Contact information

- **Practice address:** 5910 BEVERLY LN, EVERETT, WA 98203-3433
- **Practice address phone:** (425) 374-7943
- **Practice address fax:** (425) 512-8941
- **Mailing address:** 931 12TH AVE N, EDMONDS, WA 98020-2936
- **Mailing address phone:** (425) 435-6594
- **Mailing address fax:** (206) 238-9350

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2024
- **Last updated:** 12/28/2024