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Organization

MEAD ADULT FAMILY HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HIEU HUU PHAM RN (OWNER/ OPERATOR)
(206) 604-1810
Entity
Organization

Contact information

Practice address
13225 N LACEY ST, MEAD, WA 99021-9623
(206) 604-1810
Mailing address
13225 N LACEY ST, MEAD, WA 99021-9623
(206) 604-1810

Taxonomy

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

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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