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Organization

ARBOR DRIVE LEGACY LIVING ADULT FAMILY HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PACIPHIQUE MUNYABURANGA MUNYABURANGA (OWNER)
(774) 232-6055
Entity
Organization

Contact information

Practice address
3608 ARBOR DR SE, LACEY, WA 98503-4802
(774) 232-6055
(360) 252-7715
Mailing address
3608 ARBOR DR SE, LACEY, WA 98503-4802
(774) 232-6055
(360) 252-7715

Taxonomy

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

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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