# NC ADULT FAMILY HOME, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841464724
- **Authorized official:** MRS. NATIVIDAD ALVIZ CORPUZ R.N. (VICE-PRESIDENT/SECRETARY)
- **Authorized official phone:** (206) 372-2563

## Contact information

- **Practice address:** 13726 SE 23RD LN, BELLEVUE, WA 98005-4026
- **Practice address phone:** (425) 643-2796
- **Practice address fax:** (425) 644-2462
- **Mailing address:** 4932 163RD PL SE, BELLEVUE, WA 98006-4733
- **Mailing address phone:** (206) 372-2563
- **Mailing address fax:** (425) 644-2462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 750310 | WA | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008