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Organization
RESIDENCE CHOICE ADULT FAMILY HOME
Active
Organization
RESIDENCE CHOICE ADULT FAMILY HOME
Active
Other names
Residence Choice Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MWANGI (PROVIDER)
(302) 357-5104
Entity
Organization
Contact information
Practice address
17400 17TH PL NE, SHORELINE, WA 98155-5202
(302) 357-5104
(425) 200-6172
Mailing address
17400 17TH PL NE, SHORELINE, WA 98155-5202
(302) 357-5104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
315D00000X
Inpatient Hospice
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
NULL
376G00000X
Nursing Home Administrator
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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