# AMATA ADULT FAMILY HOME INC

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

## Provider details

- **NPI number:** 1629886841
- **Authorized official:** IRENE NDONYE (EMPLOYEE)
- **Authorized official phone:** (404) 509-6690

## Contact information

- **Practice address:** 5001 80TH AVE W, UNIVERSITY PLACE, WA 98467-1921
- **Practice address phone:** (404) 509-6690
- **Practice address fax:** (253) 503-1484
- **Mailing address:** 5001 80TH AVE W, UNIVERSITY PLACE, WA 98467-1921

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024