# 97TH AVENUE ADULT FAMILY HOME LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235971581
- **Authorized official:** CAROLINE KILEMI (CEO)
- **Authorized official phone:** (253) 238-7203

## Contact information

- **Practice address:** 7303 97TH AVE SW, LAKEWOOD, WA 98498-3324
- **Practice address phone:** (253) 238-7203
- **Practice address fax:** (253) 317-2981
- **Mailing address:** 7303 97TH AVE SW, LAKEWOOD, WA 98498-3324
- **Mailing address fax:** (253) 317-2981

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2024
- **Last updated:** 06/08/2024