United Friends Group Friends

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

BH813 Issued in WA

Legal business name

UNITED FRIENDS GROUP FRIENDS

Practice address

6935 Fauntleroy Way SW
Seattle, WA 98136-1728

Phone

(206) 782-8705

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Holly Jean Brocki

Title

Office Mananger

Phone

(206) 782-8705

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1669671095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17017",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981270717",
            "telephone_number": "206-782-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 FAUNTLEROY WAY SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361728",
            "telephone_number": "206-782-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FRIENDS GROUP FRIENDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BROCKI",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANANGER",
        "authorized_official_telephone_number": "206-782-8705",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WA",
            "license": "BH813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• University Dental Associates

• Intellectual Disabilities Intermediate Care Facility in Seattle, WA
• Providers in Seattle, WA by specialty
• Intellectual Disabilities Intermediate Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.