Organization
KENNYDALE HILLS ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOWHARA MOHAMED (PROVIDER)
(425) 204-1810
Entity
Organization
Contact information
Practice address
1615 EDMONDS AVE NE, RENTON, WA 98056-2716
(425) 204-1810
Mailing address
1615 EDMONDS AVE NE, RENTON, WA 98056-2716
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750184
WA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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