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Organization

LIFE FULFILLED ADULT HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEBERINA GEORGE (CEO)
(678) 851-4825
Entity
Organization

Contact information

Practice address
7309 97TH AVE SW, LAKEWOOD, WA 98498-3324
(678) 851-4825
(206) 501-4904
Mailing address
7309 97TH AVE SW, LAKEWOOD, WA 98498-3324
(678) 851-4825
(206) 501-4904

Taxonomy

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

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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