NPI 1184152779

Blueridge Afh LLC

Organisation Nursing Home Administrator Seattle, WA

Practice location

Address: 2106 NW 97th St, Seattle, WA 98117-2451
Phone: (206) 755-0861

Authorised official

Name: Amante Fernando Tadique
Title: Ceo
Phone: (206) 755-0861

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence A750023 (WA)

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Registry record

NPI: 1184152779
Entity type: Organization
NPI issued: 26 May 2017
Record last updated: 21 Jul 2022

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.