Organization
FULL LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RICHART (EXECUTIVE DIRECTOR)
(206) 467-7033
Entity
Organization
Contact information
Practice address
4712 35TH AVE S, SEATTLE, WA 98118-1704
(206) 467-7033
Mailing address
800 JEFFERSON ST STE 620, SEATTLE, WA 98104-2421
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501965
—
WA
Enumeration date
08/12/2009
Last updated
03/04/2021
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