Verdant Grove Adult Family Home, LLC
NPI #1083128375 in Seattle, Washington
Provider Information
- NPI Number
- 1083128375
- Entity Type
- Organization
- Organization Name
- Verdant Grove Adult Family Home, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 22, 2017
- Last Updated
- Nov 22, 2017
Practice Location
- Address
- 9644 54TH AVE S
- City
- Seattle
- State
- Washington
- ZIP Code
- 98118-5705
- Phone
- (206) 722-2766
Authorized Official
- Name
- LILIA PEROS SADUCOS
- Title
- PROVIDER
- Phone
- (206) 694-3513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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