Organization
AVIAN ADULT FAMILY HOME B
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE NDIRITU REGISTERED NURSE (PROVIDER)
(253) 341-8755
Entity
Organization
Contact information
Practice address
7217 91ST AVENUE CT SW, LAKEWOOD, WA 98498-7100
(253) 341-8755
(253) 301-1642
Mailing address
7217 91ST AVENUE CT SW, LAKEWOOD, WA 98498-7100
(253) 341-8755
(253) 301-1642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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