Organization
KYDD AT HEART ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ANN KYDD CNA (PROVIDER)
(360) 790-2863
Entity
Organization
Contact information
Practice address
4810 18TH AVE SE, STE 2, LACEY, WA 98503-2652
(360) 790-2863
Mailing address
4810 18TH AVE SE, STE 2, LACEY, WA 98503-2652
(360) 790-2863
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
752014
WA
385H00000X
Respite Care
752014
WA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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