Organization
GARDEN COURT LESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON 'PHIL' ALTMAN (REGIONAL VP, OPERATIONS)
(303) 750-5522
Entity
Organization
Contact information
Practice address
520 112TH ST SW, EVERETT, WA 98204-4828
(425) 438-9080
(425) 438-1604
Mailing address
520 112TH ST SW, EVERETT, WA 98204-4828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604201028
UBI
WA
Enumeration date
07/15/2022
Last updated
07/15/2022
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