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Organization
AVENUE HOME LLC
Active
Organization
AVENUE HOME LLC
Active
Other names
Avenue Home
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER NDUNGU MACHARIA (RESIDENT CARE MANAGER)
(253) 348-6004
Entity
Organization
Contact information
Practice address
719 23RD AVE SE, PUYALLUP, WA 98372-4662
(703) 861-7446
Mailing address
719 23RD AVE SE, PUYALLUP, WA 98372-4662
(703) 861-7446
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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