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Organization

ARCADIA ADULT FAMILY HOME, LLC

Active
Other names
Arcadia Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OLGA M SMIRNOVA (OWNER, ADMINISTRATOR)
(360) 739-8859
Entity
Organization

Contact information

Practice address
910 38TH ST, BELLINGHAM, WA 98229-3158
(360) 752-1655
(360) 756-0840
Mailing address
910 38TH ST, BELLINGHAM, WA 98229-3158
(360) 752-1655
(360) 756-0840

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
A694000
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
449929
SOCIAL SERVICE PAYMENT SYSTEM (SSPS)
WA
05
449929
WA
Enumeration date
12/17/2014
Last updated
12/17/2014
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