Organization
AMBASSADOR ADULT FAMILY HOME LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA NAISIAE NKURRUNA RN (OWNER)
(509) 329-8057
Entity
Organization
Contact information
Practice address
5220 S SMITH CT, SPOKANE, WA 99223-7500
(509) 329-8057
Mailing address
PO BOX 30238, SPOKANE, WA 99223-3003
(509) 329-8057
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629667605
NPPES
WA
Enumeration date
02/04/2021
Last updated
02/04/2021
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