NPI | 1124803481 |
---|---|
Doing Business As | A MAJE MANOR ADULT FAMILY HOME LLC |
Entity Type | Organization |
Authorized Contact | GLENN J BOCTOT Provider 425-586-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-08-25 |