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Organization

AVIAN ADULT FAMILY HOME B

Active
Other names
Avian Adult Family Home D LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE NDIRITU (PROVIDER)
(253) 341-8755
Entity
Organization

Contact information

Practice address
422 122ND ST S, TACOMA, WA 98444-3618
(253) 341-8755
Mailing address
422 122ND ST S, TACOMA, WA 98444-3618

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
07/30/2020
Last updated
07/30/2020
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