# SENIOR VILLAGE ADULT FAMILY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SENIOR VILLAGE AFH LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902726599
- **Legal business name:** SENIOR VILLAGE AFH LLC
- **Authorized official:** MISS BOBBETTE KERR CNA (PROVIDER/ADMINISTRATOR)
- **Authorized official phone:** (425) 625-1604

## Contact information

- **Practice address:** 931 177TH AVE NE, BELLEVUE, WA 98008-3408
- **Practice address phone:** (425) 625-1604
- **Practice address fax:** (425) 590-9881
- **Mailing address:** 931 177TH AVE NE, BELLEVUE, WA 98008-3408
- **Mailing address phone:** (425) 625-1604
- **Mailing address fax:** (425) 590-9881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026