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Organization

EDDY ADULT FAMILY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDITH NYAKIO NGANGA (CNA)
(914) 564-0705
Entity
Organization

Contact information

Practice address
7613 JADE DR SW, LAKEWOOD, WA 98498-4833
(914) 564-0705
(253) 267-5616
Mailing address
7613 JADE DR SW, LAKEWOOD, WA 98498-4833
(914) 564-0705
(253) 267-5616

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
10/02/2025
Last updated
10/02/2025
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