Organization
ROSE PLACE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GICHIGO (ADULT CARE HOME ADMINISTRATOR)
(334) 492-1468
Entity
Organization
Contact information
Practice address
212 ROSE PL, PUYALLUP, WA 98371-5075
(334) 492-1468
Mailing address
212 ROSE PL, PUYALLUP, WA 98371-5075
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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