Organization
BUENA VISTA AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENARD KALAMA (ADULT CARE HOME ADMINISTRATOR)
(206) 413-1955
Entity
Organization
Contact information
Practice address
2605 FOREST RIDGE DR SE, AUBURN, WA 98002-7023
(206) 413-1955
Mailing address
2605 FOREST RIDGE DR SE, AUBURN, WA 98002-7023
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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