Organization
PINECONE HEIGHTS CORPORATION
Active
Other names
Crest Manor AFH
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J HOLLIDAY (PRESIDENT)
(206) 940-1020
Entity
Organization
Contact information
Practice address
1171 CAMAS AVE NE, RENTON, WA 98056-2918
(206) 940-1020
(425) 523-3990
Mailing address
10541 SE 226TH ST, KENT, WA 98031-2621
(206) 940-1020
(425) 523-3990
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320914
CLIENT SERVICE CONTRACT
WA
Enumeration date
10/09/2013
Last updated
10/09/2013
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