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Contact Information

KELSEY PARK A.F.H.
12649 SE 4TH PL
BELLEVUE, WA98005-3507
 Phone: 425-453-0173
 Fax: 425-453-0969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for KELSEY PARK A.F.H.

NPI Number 1215157623
LBN Legal business name KELSEY PARK A.F.H.
Authorized official LUCY MURESAN - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # 36100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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