Organization
FOUNTAIN COURT ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI KNOX (EXECUTIVE DIRECTOR)
(425) 432-3352
Entity
Organization
Contact information
Practice address
24200 224TH AVE SE, MAPLE VALLEY, WA 98038-7926
(425) 432-3352
(425) 432-1648
Mailing address
4610 NE 77TH AVE, SUITE #132, VANCOUVER, WA 98662-6789
(360) 449-4524
(360) 449-4525
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1568
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688752
—
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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