Organization
ELDER AND ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTI VAN PATTEN (CPA)
(360) 271-0167
Entity
Organization
Contact information
Practice address
12831 NE 21ST PL, BELLEVUE, WA 98005-1909
(425) 250-7038
Mailing address
12831 NE 21ST PL, BELLEVUE, WA 98005-1909
(425) 250-7038
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
251C00000X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501954
—
WA
Enumeration date
07/31/2014
Last updated
07/31/2014
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