Organization
BETHANY OF THE NORTHWEST
Active
Other names
Bethany at Silver Crest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAD GUPTA (FINANCE DIRECTOR)
(425) 551-6402
Entity
Organization
Contact information
Practice address
2131 LAKE HEIGHTS DRIVE, EVERETT, WA 98208
(425) 551-6343
Mailing address
PO BOX 5128, EVERETT, WA 98206
(425) 551-6343
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219178
—
WA
Enumeration date
05/04/2007
Last updated
08/22/2020
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