Organization
SUNDANCE ADULT FAMILY HOME LLC
Active
Other names
Sundance Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MWIKLAI WAWERU RN (MANAGER)
(508) 612-3875
Entity
Organization
Contact information
Practice address
10216 N SUNDANCE DR, SPOKANE, WA 99208-9315
(509) 315-5779
(509) 984-6291
Mailing address
10216 N SUNDANCE DR, SPOKANE, WA 99208-9315
(509) 315-5779
(509) 984-6291
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/11/2022
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