Organization
DAYSTAR OLYMPIA ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERIS MBARIA RN (PROVIDER)
(978) 996-0081
Entity
Organization
Contact information
Practice address
1015 ROCKCRESS DR SE, OLYMPIA, WA 98513-2147
(978) 885-7422
Mailing address
111 CANDLEWYCK DR W, LAKEWOOD, WA 98499-8113
(978) 885-7422
(253) 352-8099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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