Organization
SAHARA ADULT FAMILY HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BALJEET KAUR HANS (PRESIDENT)
(360) 913-0152
Entity
Organization
Contact information
Practice address
4913 61ST DR NE, MARYSVILLE, WA 98270-7552
(360) 913-0152
Mailing address
4913 61ST DR NE, MARYSVILLE, WA 98270-7552
(360) 913-0152
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750156
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608552
ADULT FAMILY HOME
WA
Enumeration date
12/12/2013
Last updated
12/12/2013
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