Organization
NORTHSHORE SENIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI PIRONE (PROGRAM MANAGER)
(425) 286-1037
Entity
Organization
Contact information
Practice address
10212 E RIVERSIDE DR, BOTHELL, WA 98011-3709
(425) 488-4821
(425) 483-3001
Mailing address
10212 E RIVERSIDE DR, BOTHELL, WA 98011-3709
(425) 488-4821
(425) 483-3001
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027438
—
WA
Enumeration date
06/24/2016
Last updated
06/24/2016
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