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Organization

ANGELA'S ADULT FAMILY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA DEE IVERSON C.N.A. (OWNER/ PROVIDER)
(253) 638-8338
Entity
Organization

Contact information

Practice address
26308 185TH AVE SE, COVINGTON, WA 98042-8425
(253) 638-8338
(253) 631-6871
Mailing address
26308 185TH AVE SE, COVINGTON, WA 98042-8425
(253) 638-8338
(253) 631-6871

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
648700
WA

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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