# BOUCHY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Gardens At Issaquah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992700249
- **Authorized official:** MS. LISA JACKSON CPA (CEO, ADMINISTRATOR)
- **Authorized official phone:** (425) 392-1271

## Contact information

- **Practice address:** 805 FRONT ST S, ISSAQUAH, WA 98027-4205
- **Practice address phone:** (425) 392-1271
- **Practice address fax:** (425) 837-9682
- **Mailing address:** 805 FRONT ST S, ISSAQUAH, WA 98027-4205
- **Mailing address phone:** (425) 392-1271
- **Mailing address fax:** (425) 837-9682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1349 | WA | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113494 | — | WA |