# HIGH DRIVE ADULT FAMILY HOME

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

## Provider details

- **NPI number:** 1124563697
- **Authorized official:** LUCIA NGATIA (PROVIDER)
- **Authorized official phone:** (774) 262-3858

## Contact information

- **Practice address:** 119 E HIGH DR, SPOKANE, WA 99203-2756
- **Practice address phone:** (774) 262-3858
- **Practice address fax:** (509) 747-2155
- **Mailing address:** 119 E HIGH DR, SPOKANE, WA 99203-2756
- **Mailing address phone:** (509) 263-5851
- **Mailing address fax:** (509) 747-2155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 752761 | WA | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016