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Organization

GREEN PINE CARE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. QING XIU JI BUDNICK (OWNER)
(206) 388-7318
Entity
Organization

Contact information

Practice address
4461 SW 313TH ST, FEDERAL WAY, WA 98023-2146
(206) 388-7318
Mailing address
4461 SW 313TH ST, FEDERAL WAY, WA 98023-2146
(206) 388-7318

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752632
WA

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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