# LIFE FULFILLED ADULT HOME CARE

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

## Provider details

- **NPI number:** 1609685866
- **Authorized official:** SEBERINA GEORGE (CEO)
- **Authorized official phone:** (678) 851-4825

## Contact information

- **Practice address:** 7309 97TH AVE SW, LAKEWOOD, WA 98498-3324
- **Practice address phone:** (678) 851-4825
- **Practice address fax:** (206) 501-4904
- **Mailing address:** 7309 97TH AVE SW, LAKEWOOD, WA 98498-3324
- **Mailing address phone:** (678) 851-4825
- **Mailing address fax:** (206) 501-4904

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2025
- **Last updated:** 01/02/2025