Longhouse Bothell LLC
NPI #1174131999 in Bothell, Washington
Provider Information
- NPI Number
- 1174131999
- Entity Type
- Organization
- Organization Name
- Longhouse Bothell LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 17, 2020
- Last Updated
- Jul 17, 2020
Practice Location
- Address
- 16605 122ND PL NE
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-7114
- Phone
- (425) 362-5529
Authorized Official
- Name
- MATTHEW LONG
- Title
- OWNER/DIRECTOR
- Phone
- (206) 307-4775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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