Provider Demographics
NPI:1609166420
Name:ISQH, LLC
Entity Type:Organization
Organization Name:ISQH, LLC
Other - Org Name:UNIVERSITY HOUSE, ISSAQUAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-470-8000
Mailing Address - Street 1:400 UNION ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2502
Mailing Address - Country:US
Mailing Address - Phone:206-470-8000
Mailing Address - Fax:206-470-8190
Practice Address - Street 1:22975 SE BLACK NUGGET RD
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6997
Practice Address - Country:US
Practice Address - Phone:425-557-4200
Practice Address - Fax:425-557-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1565310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility