Organization
SOUTH SOUND ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANDI NATOL ATOMSA ATOMSA (AFH PROVIDER)
(612) 986-0347
Entity
Organization
Contact information
Practice address
4425 24TH AVE SE # WA98503, LACEY, WA 98503-3233
(612) 986-0347
Mailing address
4425 24TH AVE SE # WA98503, LACEY, WA 98503-3233
(612) 986-0347
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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