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Organization

KINGDOM FAMILY NW

Active
Other names
Kingdom Family NW
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHOCHO FAIFAI SR. (EXECUTIVE DIRECTOR)
(360) 216-9846
Entity
Organization

Contact information

Practice address
10804 NE HIGHWAY 99, VANCOUVER, WA 98686-5655
(360) 342-8622
Mailing address
821 NW 175TH WAY, RIDGEFIELD, WA 98642-6963
(360) 216-9846

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
10/15/2024
Last updated
03/18/2025
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