Organization
AVENUE HOME LLC
Active
Other names
Avenue Home
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER NDUNGU MACHARIA (RESIDENT CARE MANAGER)
(253) 348-6004
Entity
Organization
Contact information
Practice address
719 23RD AVE SE, PUYALLUP, WA 98372-4662
(703) 861-7446
Mailing address
719 23RD AVE SE, PUYALLUP, WA 98372-4662
(703) 861-7446
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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