NPI 1275131237

Pacifica Kenmore LLC

Organisation Assisted Living Facility Kenmore, WA

Practice location

Address: 7221 NE 182nd Street, Kenmore, WA 98028
Phone: (425) 481-4200
Mailing address: 1775 Hancock Street Suite 200, San Diego, CA 92110

Authorised official

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

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Washington →

Alzheimer Center (Dementia Center)

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1275131237
Entity type: Organization
NPI issued: 13 Oct 2020
Record last updated: 13 Oct 2020

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.