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Organization
SHALOM SPRINGS ADULT FAMILY HOME INC.
Active
Organization
SHALOM SPRINGS ADULT FAMILY HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON KIMANDI MWIRABUA ADMINISTRATOR (REGISTERED AGENT)
(678) 431-8085
Entity
Organization
Contact information
Practice address
909 138TH ST E, TACOMA, WA 98445-2778
(678) 431-8085
(253) 267-1453
Mailing address
909 138TH ST E, TACOMA, WA 98445-2778
(678) 431-8085
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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