Organization
EVERGREEN PARK AFH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN BALASA (OFFICE ADMINISTRATOR)
(425) 753-2416
Entity
Organization
Contact information
Practice address
17126 SE 29TH PL, BELLEVUE, WA 98008-5600
(206) 660-1273
Mailing address
17126 SE 29TH PL, BELLEVUE, WA 98008-5600
(206) 660-1273
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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