Paradise Lake Senior Care Home, LLC
NPI #1932508868 in Snohomish, Washington
Provider Information
- NPI Number
- 1932508868
- Entity Type
- Organization
- Organization Name
- Paradise Lake Senior Care Home, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 15, 2014
- Last Updated
- Aug 15, 2014
Practice Location
- Address
- 10121 219TH ST SE
- City
- Snohomish
- State
- Washington
- ZIP Code
- 98296-4941
- Phone
- (425) 761-7739
Authorized Official
- Name
- THERESA FRIGILLANA, RN, BSN
- Title
- AFH PROVIDER
- Phone
- (425) 761-7739
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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