# FOREST PARK ADULT FAMILY HOME INC

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

## Provider details

- **NPI number:** 1760887830
- **Authorized official:** MRS. FLORICA MIHAILA CNA (OWNER)
- **Authorized official phone:** (253) 833-4815

## Contact information

- **Practice address:** 17522 SE 338TH ST, AUBURN, WA 98092-5212
- **Practice address phone:** (253) 833-4815
- **Mailing address:** 17522 SE 338TH ST, AUBURN, WA 98092-5212
- **Mailing address phone:** (253) 833-4815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 752403 | WA | Yes |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 10/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 279683 | — | WA |