OrganizationActive
A Maje Manor Adult Family Home LLC
NPI 1124803481 · In Home Supportive Care Agency · Bellevue, WA
Provider details
- NPI number
- 1124803481
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Glenn Boctot, Provider(425) 586-0255
Specialties & taxonomies
Agencies
Practice location
16608 Ne 19th Pl
Bellevue, WA 98008-2686
Phone: (425) 586-0255
Fax: (425) 746-8072
Approximate (ZIP-level) locationGet directions
Mailing address
12912 Se 186th St
Renton, WA 98058-7981
Other names (DBA / former)
- Doing business as
- A Maje Manor Adult Family Home LLC
Registry dates
- Enumerated
- 2023-08-25
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.