CSH QUEEN ANNE LESSEE LLC NPI 1790142636

NPI Information

CSH QUEEN ANNE LESSEE, LLC is an assisted living facility in Seattle, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CSH QUEEN ANNE LESSEE, LLC NPI is 1790142636. The provider is registered as an organization entity type.
The provider Is Doing Business As Queen Anne Manor.

The provider's business location address is:

100 CROCKETT ST
SEATTLE, WA
ZIP 98109-514
Phone: (206) 282-5001

The provider's authorized official is Kyle Henderson .
The authorized official title is Vice President and has the following contact phone number (202) 469-8400.

The CLIA number assigned to this NPI record is 50D2108344 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2016 and was last updated on 1/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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