Organization
LONGHOUSE NORTHGATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LONG (OWNER AND DIRECTOR)
(206) 307-4775
Entity
Organization
Contact information
Practice address
11339 8TH AVE NE, SEATTLE, WA 98125-6110
(206) 366-1771
(206) 365-0827
Mailing address
11339 8TH AVE NE, SEATTLE, WA 98125-6110
(206) 366-1771
(206) 365-0827
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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