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Organization
HOPE OF LIFE ADULT FAMILY HOME
Active
Organization
HOPE OF LIFE ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAYE G MEZENGIE (OWNER)
(206) 596-6742
Entity
Organization
Contact information
Practice address
12402 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
(206) 596-6742
Mailing address
12314 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
(509) 474-0168
(509) 474-0178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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