# RESIDENCE CHOICE ADULT FAMILY HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Residence Choice Adult Family Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376265306
- **Authorized official:** JAMES MWANGI (PROVIDER)
- **Authorized official phone:** (302) 357-5104

## Contact information

- **Practice address:** 17400 17TH PL NE, SHORELINE, WA 98155-5202
- **Practice address phone:** (302) 357-5104
- **Practice address fax:** (425) 200-6172
- **Mailing address:** 17400 17TH PL NE, SHORELINE, WA 98155-5202
- **Mailing address phone:** (302) 357-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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