Whalio Doctors

NPI 1619195229

Kenmore Senior Living LLC

Organisation Assisted Living Facility Kenmore, WA

Practice location

Address
7221 NE 182nd St, Kenmore, WA 98028-2797
Phone
(425) 481-4200
Mailing address
PO Box 3006, Salem, OR 97302-0006

Authorised official

Name
Jon M Harder
Title
Manager
Phone
(503) 375-9016

Registered specialties (3)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 1911 (WA)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X
Alzheimer Center (Dementia Center)
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 1911 (WA)

Registry record

NPI
1619195229
Entity type
Organization
NPI issued
22 Apr 2007
Record last updated
25 Jul 2008

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.