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Sunshineadult Family Home LLC

Home Health in Everett, WA. Organization (NPI-2).

NPI number1710589056
StatusActive
Last updated in NPPESNov 11, 2020

Details

NPI
1710589056
Entity type
Organization (NPI-2)
Legal business name
Sunshineadult Family Home LLC
Organization subpart
No
Enumeration date
Nov 11, 2020
Certification date
Nov 11, 2020
Last updated
Nov 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Ocean Cottage Adult Family Home (Other Name)

Practice location

4905 Seaview Way
Everett, WA 98203-1431

Phone 206-356-9203 · Fax 425-789-1495

Mailing address

928 18th St
Mukilteo, WA 98275-2215

Phone 206-356-9203

Authorized official

Michael L Nemirovsky
Managing Member
2063569203

Is something wrong?

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