Guardian Manor LLC
NPI #1043055510 in Mountlake Terrace, Washington
Provider Information
- NPI Number
- 1043055510
- Entity Type
- Organization
- Organization Name
- Guardian Manor LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 27, 2024
- Last Updated
- Jun 27, 2024
Practice Location
- Address
- 23105 53RD AVE W
- State
- Washington
- ZIP Code
- 98043-4703
- Phone
- (206) 229-0754
Authorized Official
- Name
- HANNA GIZAW
- Title
- PROVIDER
- Phone
- (206) 229-0754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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