# FIDELIS ADULT HOME CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1154162667
- **Authorized official:** NATHANIEL M BALLANTYNE (CEO)
- **Authorized official phone:** (509) 850-7442

## Contact information

- **Practice address:** 2320 W ROCKWELL AVE, SPOKANE, WA 99205-1470
- **Practice address phone:** (509) 638-9401
- **Mailing address:** 6805 N BELT ST, SPOKANE, WA 99208-4301
- **Mailing address phone:** (509) 638-9401

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024