Organization
THISTLE CROFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVINA BAH (MANAGER)
(425) 760-8551
Entity
Organization
Contact information
Practice address
510 MADISON ST, EVERETT, WA 98203-4441
(425) 760-8551
Mailing address
PO BOX 214, MUKILTEO, WA 98275-0214
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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