# M.K. ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1952240343
- **Authorized official:** MANJINDER KAUR (PROVIDER)
- **Authorized official phone:** (425) 524-6691

## Contact information

- **Practice address:** 16350 130TH AVE SE, RENTON, WA 98058-5514
- **Practice address phone:** (425) 524-6691
- **Mailing address:** 2222 MORRIS AVE S, RENTON, WA 98055-4288
- **Mailing address phone:** (425) 524-6691
- **Mailing address fax:** (425) 524-6691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | Yes |
| 163W00000X | Registered Nurse | — | — | Yes |
| 311ZA0620X | Adult Care Home Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2026
- **Last updated:** 08/13/2026