Organization
CLOUD NINE CARE SUITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY VU (PROVIDER/OWNER)
(425) 492-4333
Entity
Organization
Contact information
Practice address
3705 165TH PL SW, LYNNWOOD, WA 98037-7019
(425) 492-4333
Mailing address
3705 165TH PL SW, LYNNWOOD, WA 98037-7019
(425) 492-4333
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752992
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204964401
—
WA
Enumeration date
12/17/2015
Last updated
12/17/2015
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