Organization
JOYLAND AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE N KABUCHO (PROVIDER)
(206) 606-3580
Entity
Organization
Contact information
Practice address
5410 34TH AVE SE, LACEY, WA 98503-3608
(206) 606-3580
Mailing address
5410 34TH AVE SE, LACEY, WA 98503-3608
(206) 606-3580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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