# PRIMECARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093681538
- **Authorized official:** FATOU KIJERA CNA (PROVIDER)
- **Authorized official phone:** (425) 463-7829

## Contact information

- **Practice address:** 2627 205TH PL SW, LYNNWOOD, WA 98036-7869
- **Practice address phone:** (425) 463-7829
- **Practice address fax:** (425) 608-8818
- **Mailing address:** 2627 205TH PL SW, LYNNWOOD, WA 98036-7869
- **Mailing address phone:** (425) 463-7829
- **Mailing address fax:** (425) 608-8818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 10/13/2025