Organization
CANDLEBERRY ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J BILLINGTON W MWANGI (PROVIDER)
(425) 583-0521
Entity
Organization
Contact information
Practice address
7518 56TH PL NE, MARYSVILLE, WA 98270-9203
(425) 583-0521
(360) 322-6619
Mailing address
7518 56TH PL NE, MARYSVILLE, WA 98270-9203
(425) 583-0521
(360) 322-6619
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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