Organization
ARCHSTONE ADULT FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAY GOINS RN (OWNER)
(425) 572-6453
Entity
Organization
Contact information
Practice address
18611 114TH AVE SE, RENTON, WA 98055-7124
(425) 572-6453
(425) 572-5526
Mailing address
18611 114TH AVE SE, RENTON, WA 98055-7124
(425) 572-6453
(425) 572-5526
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
A-750346
WA
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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