# DIVINE MERCY CARE AFH

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

## Provider details

- **NPI number:** 1871466730
- **Authorized official:** MS. MILLION HAGOS MILLION NC.61464429 (PROVIDER)
- **Authorized official phone:** (206) 771-8314

## Contact information

- **Practice address:** 12620 86TH AVENUE CT E, PUYALLUP, WA 98373-7901
- **Practice address phone:** (206) 330-5665
- **Practice address fax:** (253) 387-5622
- **Mailing address:** 12620 86TH AVENUE CT E, PUYALLUP, WA 98373-7901
- **Mailing address phone:** (206) 330-5665
- **Mailing address fax:** (253) 387-5622

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2025
- **Last updated:** 09/26/2025