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Organization
AVIAN ADULT FAMILY HOME B LLC
Active
Organization
AVIAN ADULT FAMILY HOME B LLC
Active
Other names
Avian Adult Family Home E
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE NDIRITU (PROVIDER)
(253) 341-8755
Entity
Organization
Contact information
Practice address
1115 144TH ST E, TACOMA, WA 98445-2583
(253) 341-8755
(253) 409-2590
Mailing address
7217 91ST AVENUE CT SW, LAKEWOOD, WA 98498-7100
(253) 341-8755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068817
—
WA
Enumeration date
03/14/2022
Last updated
03/14/2022
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