# AUTUMN RIDGE ADULT FAMILY HOME, LLC

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

## Provider details

- **NPI number:** 1558178962
- **Authorized official:** MARGARET NGARACHU (OWNER)
- **Authorized official phone:** (425) 753-7090

## Contact information

- **Practice address:** 25337 116TH AVE SE, KENT, WA 98030-6537
- **Practice address phone:** (253) 277-4469
- **Practice address fax:** (253) 888-3545
- **Mailing address:** 25337 116TH AVE SE, KENT, WA 98030-6537
- **Mailing address phone:** (253) 277-4469
- **Mailing address fax:** (253) 888-3545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2024
- **Last updated:** 12/18/2024