Organization
DAIMA ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA-TAJIRI NYAGONCHONGA (PROVIDER)
(509) 306-4371
Entity
Organization
Contact information
Practice address
11419 N ASTOR RD, SPOKANE, WA 99218-1607
(509) 306-4371
Mailing address
11419 N ASTOR RD, SPOKANE, WA 99218-1607
(509) 306-4371
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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