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Organization
DOUBLE ZERO LLC NEW GRACE
Active
Organization
DOUBLE ZERO LLC NEW GRACE
Active
Other names
New Grace Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
EMMALINE WANJIKU NJOROGE CNA (PROVIDER)
(206) 581-8452
Entity
Organization
Contact information
Practice address
1507 LEBANON ST SE, LACEY, WA 98503-2750
(206) 581-8452
(360) 359-7722
Mailing address
1507 LEBANON ST SE, LACEY, WA 98503-2750
(206) 581-8452
(360) 359-7722
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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