Organization
NC ADULT FAMILY HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATIVIDAD ALVIZ CORPUZ R.N. (VICE-PRESIDENT/SECRETARY)
(206) 372-2563
Entity
Organization
Contact information
Practice address
13726 SE 23RD LN, BELLEVUE, WA 98005-4026
(425) 643-2796
(425) 644-2462
Mailing address
4932 163RD PL SE, BELLEVUE, WA 98006-4733
(206) 372-2563
(425) 644-2462
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750310
WA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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