Organization
PRISTINE HOUSE LLC
Active
Other names
Pristine House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA KHADKA RN (RESIDENT MANAGER)
(425) 835-6512
Entity
Organization
Contact information
Practice address
25223 146TH AVE SE, KENT, WA 98042-3410
(253) 236-5352
(253) 236-8730
Mailing address
25223 146TH AVE SE, KENT, WA 98042-3410
(425) 835-6512
(253) 236-8730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139440
—
WA
Enumeration date
05/13/2020
Last updated
08/27/2024
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