Organization
OPTION AFH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMELDA A CABORNAY (OWNER)
(206) 444-0702
Entity
Organization
Contact information
Practice address
16233 34TH AVE S, SEATAC, WA 98188-3024
(206) 444-0702
Mailing address
16233 34TH AVE S, SEATAC, WA 98188-3024
(206) 444-0702
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
393201
WA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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