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A MAJE MANOR ADULT FAMILY HOME LLC

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Company Details

Legal Name: A MAJE MANOR ADULT FAMILY HOME LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 9th 2022
Expiration date: 31 Dec 2025
UBI Number: 605 001 884
ZIP code: 98058
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12912 SE 186TH ST, RENTON, WA, 98058-7981, UNITED STATES

Contact Details

E-Mail: FAIRWOODMANOR@YAHOO.COM
Phone Number: +1 425-586-0255

Nature of Business

Health Care, Social Assistance & Service Organization, ADULT FAMILY HOME

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Registered Agent Information

Name Role Address
GLENN BOCTOT Registered Agent 12912 SE 186TH ST, RENTON, WA, 98058-7981, UNITED STATES

Key Officers & Management

Name Role Address
SIENNA ATIP Executor 27720 131ST CT SE, KENT, WA, 98030-8869, UNITED STATES
GLENN BOCTOT Executor 12912 SE 186TH ST, RENTON, WA, 98058-7981, UNITED STATES
SIENNA ATIP Governing Person 12912 SE 186TH ST, RENTON, WA, 98058-7981, UNITED STATES
GLENN BOCTOT Governing Person -

National Provider Identifier

NPI Number:
1124803481
Certification Date:
2023-08-25

Authorized Person:

Name:
GLENN J BOCTOT
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fax:
4257468072
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