# ARBOR DRIVE LEGACY LIVING ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1609718253
- **Authorized official:** PACIPHIQUE MUNYABURANGA MUNYABURANGA (OWNER)
- **Authorized official phone:** (774) 232-6055

## Contact information

- **Practice address:** 3608 ARBOR DR SE, LACEY, WA 98503-4802
- **Practice address phone:** (774) 232-6055
- **Practice address fax:** (360) 252-7715
- **Mailing address:** 3608 ARBOR DR SE, LACEY, WA 98503-4802
- **Mailing address phone:** (774) 232-6055
- **Mailing address fax:** (360) 252-7715

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2026
- **Last updated:** 04/06/2026