# HEART2HEART ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1407567209
- **Authorized official:** GONZAGA MULINDWA (PROVIDER)
- **Authorized official phone:** (253) 257-7749

## Contact information

- **Practice address:** 3617 RED CEDAR CT SE, LACEY, WA 98503-2162
- **Practice address phone:** (360) 995-4021
- **Practice address fax:** (360) 994-3600
- **Mailing address:** 3617 RED CEDAR CT SE, LACEY, WA 98503-2162
- **Mailing address phone:** (360) 995-4021
- **Mailing address fax:** (360) 994-3600

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2022
- **Last updated:** 01/08/2026