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Organization

97TH AVENUE ADULT FAMILY HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLINE KILEMI (CEO)
(253) 238-7203
Entity
Organization

Contact information

Practice address
7303 97TH AVE SW, LAKEWOOD, WA 98498-3324
(253) 238-7203
(253) 317-2981
Mailing address
7303 97TH AVE SW, LAKEWOOD, WA 98498-3324
(253) 317-2981

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
06/08/2024
Last updated
06/08/2024
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