# NEYAT ADULT FAMILY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEYAT ADULT FAMILY HOME LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144814401
- **Authorized official:** MR. FAYE G MEZENGIE (OWNER)
- **Authorized official phone:** (206) 596-6742

## Contact information

- **Practice address:** 12402 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
- **Practice address phone:** (509) 822-7593
- **Practice address fax:** (509) 822-7895
- **Mailing address:** 12402 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
- **Mailing address phone:** (509) 904-9609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2021
- **Last updated:** 02/25/2021