Organization
EVERETT MANOR, LLC
Active
Other names
Madison Villa
Organization subpart
No
Provider details
NPI number
Authorized official
SHMUEL D STOCK (MANAGING MEMBER)
(562) 843-4843
Entity
Organization
Contact information
Practice address
2520 MADISON ST, EVERETT, WA 98203-4868
(425) 353-4040
Mailing address
422 S MANSFIELD AVE, LOS ANGELES, CA 90036-3516
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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