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General NPI Number Information
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NPI Number | 1215616396
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Entity Type | Organization
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Legal Business Name | MP SMOKEY POINT LLC
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 3607 169TH ST NE
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City | ARLINGTON
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State | WA
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Zip | 98223-7135
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Country | US
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Telephone | 360-588-5199
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Fax |
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Provider Business Mailing Address
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Address Line | 14300 N NORTHSIGHT BLVD STE 224
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3678
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Country | US
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Telephone | 480-676-4560
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MICHELLE SWEARINGEN
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Credential |
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Telephone | 360-867-8371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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