Organization
SHALOM SPRINGS ADULT FAMILY HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON KIMANDI MWIRABUA ADMINISTRATOR (REGISTERED AGENT)
(678) 431-8085
Entity
Organization
Contact information
Practice address
909 138TH ST E, TACOMA, WA 98445-2778
(678) 431-8085
(253) 267-1453
Mailing address
909 138TH ST E, TACOMA, WA 98445-2778
(678) 431-8085
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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