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Organization
144 FAMILY CARE LLC
Active
Organization
144 FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANS KAKOMA (MD)
(972) 904-2691
Entity
Organization
Contact information
Practice address
11100 SE PETROVITSKY RD APT G202, RENTON, WA 98055-5691
(972) 904-2691
Mailing address
11100 SE PETROVITSKY RD APT G202, RENTON, WA 98055-5691
(972) 904-2691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2026
Last updated
08/19/2026
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