Organization · Type 2 NPI
Verdant Grove Adult Family Home, LLC
Adult Care Home Facility · Seattle, WA
NPI number
1083128375
Active
Practice location
9644 54th Ave S
Seattle, WA 98118-5705
Mailing address
9650 54th Ave S
Seattle, WA 98118-5705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 751083 (WA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1083128375
Verdant Grove Adult Family Home, LLC's National Provider Identifier is 1083128375, issued on Nov 22, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Seattle, WA. The record was last updated on Nov 22, 2017.