Organization
GRACEFUL ADULT FAMILY HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIM MEBRAHTU PAULOS RN (OWNER/MANAGER)
(206) 294-9801
Entity
Organization
Contact information
Practice address
1421 S CHRONICLE RD, SPOKANE VALLEY, WA 99212-3403
(206) 294-9801
Mailing address
1421 S CHRONICLE RD, SPOKANE VALLEY, WA 99212-3403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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