Organization
NEYAT ADULT FAMILY HOME LLC
Active
Other names
NEYAT ADULT FAMILY HOME LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAYE G MEZENGIE (OWNER)
(206) 596-6742
Entity
Organization
Contact information
Practice address
12402 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
(509) 822-7593
(509) 822-7895
Mailing address
12402 E 19TH AVE, SPOKANE VALLEY, WA 99216-0323
(509) 904-9609
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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