Organization
LAKESIDE PEACE AFH LLC
Active
Other names
LAKESIDE PEACE AFH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BANDANA BHATTA (OWNER/CAREGIVER)
(253) 341-1193
Entity
Organization
Contact information
Practice address
9111 DEKOVEN DR SW, LAKEWOOD, WA 98499-2175
(253) 503-0313
(253) 503-0313
Mailing address
9111 DEKOVEN DR SW, LAKEWOOD, WA 98499-2175
(253) 503-0313
(253) 503-0313
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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