NPI 1124803481
A Maje Manor Adult Family Home LLC
Practice location
- Address
- 16608 NE 19th Pl, Bellevue, WA 98008-2686
- Phone
- (425) 586-0255
- Fax
- (425) 746-8072
- Mailing address
- 12912 SE 186th St, Renton, WA 98058-7981
Authorised official
- Name
- Glenn J Boctot
- Title
- Provider
- Phone
- (425) 586-0255
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1124803481
- Entity type
- Organization
- NPI issued
- 25 Aug 2023
- Record last updated
- 25 Aug 2023
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.