50D2292847 CLIA NUMBER - KBD-J, INC DBA TENDECARE LIVING II

Laboratory Demographics

CLIA Number: 50D2292847

Facility Name: KBD-J, INC DBA TENDECARE LIVING II

Facility Address:
8831 CORBIN DR
EVERETT, WA
ZIP 98204
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Facility Phone Number: 425 418-1732

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1073201067

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	50D2292847
LAB Type	Other - AFH
Facility Name	KBD-J, INC DBA TENDECARE LIVING II
Street	8831 CORBIN DR
City	EVERETT
State	WA
ZIP	98204
Phone	425 418-1732
CertificateType	4
CertificateEffectiveDate	10/31/2023
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024