Healthcare Provider Details

I. General information

NPI: 1790698942
Provider Name (Legal Business Name): SILVER LAKE HELPING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11620 31ST DR SE
EVERETT WA
98208-6107
US

IV. Provider business mailing address

11620 31ST DR SE
EVERETT WA
98208-6107
US

V. Phone/Fax

Practice location:
  • Phone: 425-225-5968
  • Fax: 425-225-5968
Mailing address:
  • Phone: 425-225-5968
  • Fax: 425-225-5968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUHAMMADOU SILLAH
Title or Position: PROVIDER
Credential:
Phone: 425-247-8393