NPI 1023754843

Mihail Madan

Practitioner Adult Care Home Facility Mountlake Terrace, WA

Practice location

Address: 22106 43rd Ave W, Mountlake Terrace, WA 98043-3611
Phone: (206) 430-3889

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence A755204 (WA)

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1023754843
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2022
Record last updated: 5 May 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.