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Organization

A MAJE MANOR ADULT FAMILY HOME LLC

Active
Other names
A Maje Manor Adult Family Home llc
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN J BOCTOT MR (PROVIDER)
(425) 586-0255
Entity
Organization

Contact information

Practice address
16608 NE 19TH PL, BELLEVUE, WA 98008-2686
(425) 586-0255
(425) 746-8072
Mailing address
12912 SE 186TH ST, RENTON, WA 98058-7981
(425) 586-0255

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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