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Mihail Madan
Adult Care Home Facility in Mountlake Terrace, Washington
NPI 1023754843

Mihail Madan is an Adult Care Home Facility based in Mountlake Terrace, WA and is specialized in Adult Care Home. Mihail Madan practices in Mountlake Terrace, WA. The NPI Number for Mihail Madan is 1023754843 and holds a License No. A755204 (Washington).

The current practice location address for Mihail Madan is 22106 43Rd Ave W, Mountlake Terrace, WA and can be reached out via phone at 206-430-3889.

Location: 22106 43Rd Ave W, Mountlake Terrace, WA, 98043-3611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023754843
Provider Name
Mihail Madan
Credential
Provider Entity Type
Individual
Gender
Male
Address
22106 43Rd Ave W, Mountlake Terrace, WA, 98043-3611
Phone Number
206-430-3889
Fax Number
Provider Enumeration Date
05/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2195411 05 WA
institution
Provider Business Practice Location Address Details
Address
22106 43Rd Ave W
City
Mountlake Terrace
State
Washington
Zip
98043-3611
Phone Number
206-430-3889
Fax Number
person
Provider Business Mailing Address Details
Address
22106 43Rd Ave W
City
Mountlake Terrace
State
Washington
Zip
98043-3611
Phone Number
206-430-3889
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
A755204 (Washington)
Definition
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.
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