A Maje Manor Adult Family Home LLC
Organization Active NPI In Home Supportive Care Agency · Bellevue, WA
NPI 1124803481 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1124803481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- A MAJE MANOR ADULT FAMILY HOME LLC
- Practice address
- 16608 NE 19TH PL
Bellevue, WA 98008-2686 - Phone
- (425) 586-0255
- Fax
- (425) 746-8072
- NPI assigned
- Aug 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Glenn J Boctot, MR
- Title
- Provider
- Phone
- (425) 586-0255
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
16608 NE 19TH PL
Bellevue, WA 98008-2686
Mailing address
12912 SE 186TH St
Renton, WA 98058-7981
Phone (425) 586-0255
Other names
- A Maje Manor Adult Family Home llc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.