# ANSARA FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1477720589
- **Authorized official:** MRS. CHERYL A ANSARA (OWNER/MANAGER)
- **Authorized official phone:** (253) 857-6566

## Contact information

- **Practice address:** 424 174TH PL NE, BELLEVUE, WA 98008-4245
- **Practice address phone:** (425) 562-3434
- **Mailing address:** 8225 59TH ST NW, GIG HARBOR, WA 98335-6261
- **Mailing address phone:** (253) 857-6566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 750183 | WA | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008