Provider Demographics
NPI:1013178136
Name:MUKILTEO APARTMENTS LLC
Entity Type:Organization
Organization Name:MUKILTEO APARTMENTS LLC
Other - Org Name:HARBOUR POINTE RETIREMENT AND ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STRUTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-493-8555
Mailing Address - Street 1:10200 HARBOUR PL
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-4733
Mailing Address - Country:US
Mailing Address - Phone:425-493-8555
Mailing Address - Fax:425-493-0279
Practice Address - Street 1:10200 HARBOUR PL
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-4733
Practice Address - Country:US
Practice Address - Phone:425-493-8555
Practice Address - Fax:425-493-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABH1433261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center