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Organization
SUNDANCE ADULT FAMILY HOME LLC
Active
Organization
SUNDANCE ADULT FAMILY HOME LLC
Active
Other names
Sundance Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MWIKLAI WAWERU RN (MANAGER)
(508) 612-3875
Entity
Organization
Contact information
Practice address
10216 N SUNDANCE DR, SPOKANE, WA 99208-9315
(509) 315-5779
(509) 984-6291
Mailing address
10216 N SUNDANCE DR, SPOKANE, WA 99208-9315
(509) 315-5779
(509) 984-6291
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
11/03/2022
Last updated
11/11/2022
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