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NPI Code Detail

MEDICARE: PAINTED POST, LLC

MEDICARE: PAINTED POST, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility370-F-222NY

General Provider Information

NPI Number : 1154659712
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAINTED POST, LLC
Provider Business Mailing Address
First Line : 3131 ELLIOTT AVE
Second Line : SUITE 500
City : SEATTLE
State : WA
Zip : 98121-1044
Country : US
Telephone Number : 206-298-2909
Fax Number : 206-301-4500
Provider Business Practice Location Address
First Line : 1404 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-3732
Country : US
Telephone Number : 585-225-7210
Fax Number : 585-225-6314
Authorized Official
Title or Position : LICENSING SPECIALIST
Name : NOELLE DIAZ BICKEL
Credential :
Telephone Number : 206-298-2909
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/19/2009

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Directions to “PAINTED POST, LLC ” Practice Location

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