# MY SERVICE MIND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel of My Service Mind
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306971809
- **Authorized official:** MRS. MANDY H MA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (253) 584-5615

## Contact information

- **Practice address:** 10714 114TH AVE SW, TACOMA, WA 98498-1467
- **Practice address phone:** (253) 584-5615
- **Practice address fax:** (253) 588-3318
- **Mailing address:** 11016 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3514
- **Mailing address phone:** (253) 584-5615
- **Mailing address fax:** (253) 588-3318

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 07/21/2022