# MEAD ADULT FAMILY HOME, LLC

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

## Provider details

- **NPI number:** 1184560112
- **Authorized official:** HIEU HUU PHAM RN (OWNER/ OPERATOR)
- **Authorized official phone:** (206) 604-1810

## Contact information

- **Practice address:** 13225 N LACEY ST, MEAD, WA 99021-9623
- **Practice address phone:** (206) 604-1810
- **Mailing address:** 13225 N LACEY ST, MEAD, WA 99021-9623
- **Mailing address phone:** (206) 604-1810

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2026
- **Last updated:** 04/23/2026