# MEDMARIE & FAMILY HOMECARE LLC

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

## Provider details

- **NPI number:** 1699574632
- **Authorized official:** MARIE JILO BAH (ADMINISTRATOR/PROVIDER)
- **Authorized official phone:** (720) 216-7825

## Contact information

- **Practice address:** 10615 NE 25TH PL, VANCOUVER, WA 98686-4708
- **Practice address phone:** (720) 216-7825
- **Practice address fax:** (360) 828-5926
- **Mailing address:** 10615 NE 25TH PL, VANCOUVER, WA 98686-4708
- **Mailing address phone:** (720) 216-7825
- **Mailing address fax:** (360) 828-5926

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 03/11/2025
