Organization
LOYAL KINGDOM LLC
Active
Other names
Mo'care Comfort Ride
Organization subpart
No
Provider details
NPI number
Authorized official
ROBINSON MBUGUA (PRESIDENT)
(253) 985-1071
Entity
Organization
Contact information
Practice address
7208 205TH AVE E, BONNEY LAKE, WA 98391-6123
(253) 985-1071
Mailing address
7208 205TH AVE E, BONNEY LAKE, WA 98391-6123
(253) 985-1071
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/28/2023
Last updated
09/16/2023
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