Organization
DOUBLE ZERO LLC NEW GRACE
Active
Other names
New Grace Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
EMMALINE WANJIKU NJOROGE CNA (PROVIDER)
(206) 581-8452
Entity
Organization
Contact information
Practice address
1507 LEBANON ST SE, LACEY, WA 98503-2750
(206) 581-8452
(360) 359-7722
Mailing address
1507 LEBANON ST SE, LACEY, WA 98503-2750
(206) 581-8452
(360) 359-7722
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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