Organization
ELLISON TERRACE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUNCAN NGARACHU (ADULT FAMILY HOME PROVIDER)
(425) 753-7156
Entity
Organization
Contact information
Practice address
17206 146TH AVE SE, RENTON, WA 98058-8780
(425) 753-7156
Mailing address
17206 146TH AVE SE, RENTON, WA 98058-8780
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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