# MARY ADULT FAMILY HOME

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

## Provider details

- **NPI number:** 1184895906
- **Authorized official:** MRS. MARIA DRAGOMIR NAR (PROVIDER)
- **Authorized official phone:** (253) 876-7726

## Contact information

- **Practice address:** 1438 DOGWOOD ST SE, AUBURN, WA 98092-6476
- **Practice address phone:** (253) 876-7726
- **Practice address fax:** (253) 876-0063
- **Mailing address:** 1438 DOGWOOD ST SE, AUBURN, WA 98092-6476
- **Mailing address phone:** (253) 876-7726
- **Mailing address fax:** (253) 876-0063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 656400 | WA | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 098774 | — | WA |