NPI 1053830026

Pacifica Sl Lynnwood LLC

Organisation Assisted Living Facility Lynnwood, WA

Practice location

Address: 18625 60th Ave W, Lynnwood, WA 98037-4300
Phone: (425) 771-7700
Mailing address: 1775 Hancock St STE 200, San Diego, CA 92110-2036

Authorised official

Name: Deepak Israni
Title: General Manager
Phone: (619) 296-9000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1053830026
Entity type: Organization
NPI issued: 11 Sep 2017
Record last updated: 11 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.