Fred Lind Manor

LBN: Fred Lind Manor
Fred Lind Manor is an health care organization with primary practice located at 1802 17Th Ave , Seattle WA 98122-2722. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Fred Lind Manor can be contacted via phone (206) 324-1632, or through Mullen, Mark via phone (206) 324-1632.

Contact Information

Primary practice address
1802 17Th Ave Seattle WA 98122-2722
Fax: (206) 323-0485
Website:
Authorized official contact:
Name: Mullen, Mark

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 864 Washington

Profile Details

NPI number 1720404510
LBN Legal business name Fred Lind Manor
DBA Doing business as
Authorized official Mullen, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720404510 NPPES
Washington MEDICAID 114803

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