# AMAZING GRACE 1 AFH LCC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMAZING GRACE 1 AFH LCC, AMAZING GRACE 1 AFH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194486282
- **Authorized official:** GRACE WAIRIMU KIAMBUTHIA RN,BSN (RN,BSN)
- **Authorized official phone:** (509) 437-9349

## Contact information

- **Practice address:** 2304 E 60TH AVE, SPOKANE, WA 99223-6902
- **Practice address phone:** (469) 456-2804
- **Practice address fax:** (509) 315-8899
- **Mailing address:** 2304 E 60TH AVE, SPOKANE, WA 99223-6902
- **Mailing address phone:** (509) 437-9349
- **Mailing address fax:** (509) 315-8899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/01/2022
- **Last updated:** 04/15/2025