Organization
TANYA'S ADULT FAMILY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA VOLODYN CNA (PROVIDER)
(206) 542-6196
Entity
Organization
Contact information
Practice address
16505 N PARK AVE N, SHORELINE, WA 98133-5322
(206) 542-6196
Mailing address
16505 N PARK AVE N, SHORELINE, WA 98133-5322
(206) 542-6196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
751608
WA
310400000X
Assisted Living Facility
Primary
751609
WA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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