Archstone Adult Family Home, LLC

NPI #1558596361 in Renton, Washington

Provider Information

NPI Number
1558596361
Entity Type
Organization
Organization Name
Archstone Adult Family Home, LLC
Primary Specialty
Hospice, Inpatient
Enumeration Date
May 22, 2009
Last Updated
May 22, 2009

Practice Location

Address
18611 114TH AVE SE
City
Renton
ZIP Code
98055-7124
Phone
(425) 572-6453

Authorized Official

Name
MICHAEL RAY GOINS, RN
Title
OWNER
Phone
(425) 572-6453

Specialties & Taxonomy Codes

Specialty
Hospice, Inpatient

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