Organization
KINGDOM FAMILY NW
Active
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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