Organization
COUNTRY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINTA WANGUI GATHOGO (OWNER)
(206) 712-0398
Entity
Organization
Contact information
Practice address
2619 SW 320TH PL, FEDERAL WAY, WA 98023-2268
(206) 712-0398
(253) 587-9081
Mailing address
2619 SW 320TH PL, FEDERAL WAY, WA 98023-2268
(206) 712-0398
(253) 587-9081
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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