Organization
UNITED FRIENDS GROUP FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY JEAN BROCKI (OFFICE MANANGER)
(206) 782-8705
Entity
Organization
Contact information
Practice address
6935 FAUNTLEROY WAY SW, SEATTLE, WA 98136-1728
(206) 782-8705
Mailing address
PO BOX 17017, SEATTLE, WA 98127-0717
(206) 782-8705
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
BH813
WA
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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