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Semida Moldovan
Assisted Living Facility in Bothell, Washington
NPI 1194129080

Semida Moldovan is an Assisted Living Facility based in Bothell, WA. Semida Moldovan practices in Bothell, WA. The NPI Number for Semida Moldovan is 1194129080 and holds a License No. 480400 (Washington).

The current practice location address for Semida Moldovan is 4613 240Th St Se, Bothell, WA and can be reached out via phone at 425-487-9373 and via fax at 425-487-9373.

Location: 4613 240Th St Se, Bothell, WA, 98021-9040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194129080
Provider Name
Semida Moldovan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4613 240Th St Se, Bothell, WA, 98021-9040
Phone Number
425-487-9373
Fax Number
425-487-9373
Provider Enumeration Date
10/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4613 240Th St Se
City
Bothell
State
Washington
Zip
98021-9040
Phone Number
425-487-9373
Fax Number
425-487-9373
person
Provider Business Mailing Address Details
Address
4613 240Th St Se
City
Bothell
State
Washington
Zip
98021-9040
Phone Number
425-487-9373
Fax Number
425-487-9373
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
480400 (Washington)
Definition
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.
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