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Organization
BOUCHY, LLC
Active
Organization
BOUCHY, LLC
Active
Other names
The Gardens At Issaquah
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JACKSON CPA (CEO, ADMINISTRATOR)
(425) 392-1271
Entity
Organization
Contact information
Practice address
805 FRONT ST S, ISSAQUAH, WA 98027-4205
(425) 392-1271
(425) 837-9682
Mailing address
805 FRONT ST S, ISSAQUAH, WA 98027-4205
(425) 392-1271
(425) 837-9682
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113494
—
WA
Enumeration date
06/14/2005
Last updated
08/22/2020
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