Organization
WELLTOWER COGIR TENANT LLC
Active
Other names
COGIR QUEEN ANNE, Cogir Northgate
Organization subpart
No
Provider details
NPI number
Authorized official
BENOIT LEVESQUE (SENIOR REGIONAL DIRECTOR)
(418) 209-6169
Entity
Organization
Contact information
Practice address
11501 15TH AVE NE, SEATTLE, WA 98125-6320
(206) 362-7250
Mailing address
14905 BOTHELL EVERETT HWY, MILL CREEK, WA 98012-5315
(418) 209-6169
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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