Organization
BOUCHY, LLC
Active
Other names
The Gardens At Issaquah
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JACKSON CPA (CEO, ADMINISTRATOR)
(425) 392-1271
Entity
Organization
Contact information
Practice address
805 FRONT ST S, ISSAQUAH, WA 98027-4205
(425) 392-1271
(425) 837-9682
Mailing address
805 FRONT ST S, ISSAQUAH, WA 98027-4205
(425) 392-1271
(425) 837-9682
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113494
—
WA
Enumeration date
06/14/2005
Last updated
08/22/2020
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