# GINGERLY HOME, LLC

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

## Provider details

- **NPI number:** 1447996699
- **Authorized official:** MOMODOU SOWE (MANAGER)
- **Authorized official phone:** (425) 678-3339

## Contact information

- **Practice address:** 3323 206TH PL SW, LYNNWOOD, WA 98036-7824
- **Practice address phone:** (425) 678-3339
- **Mailing address:** 3323 206TH PL SW, LYNNWOOD, WA 98036-7824
- **Mailing address phone:** (425) 678-3339

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 05/10/2022