Organization
RESIDENCE CHOICE ADULT FAMILY HOME
Active
Other names
Residence Choice Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MWANGI (PROVIDER)
(302) 357-5104
Entity
Organization
Contact information
Practice address
17400 17TH PL NE, SHORELINE, WA 98155-5202
(302) 357-5104
(425) 200-6172
Mailing address
17400 17TH PL NE, SHORELINE, WA 98155-5202
(302) 357-5104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
315D00000X
Inpatient Hospice
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376G00000X
Nursing Home Administrator
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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