Organization
BESPOKE HAVEN AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAN NGUGI RN (PROVIDER)
(360) 386-1323
Entity
Organization
Contact information
Practice address
5107 26TH AVE SE, LACEY, WA 98503-3704
(360) 386-1323
(360) 877-4423
Mailing address
5107 26TH AVE SE, LACEY, WA 98503-3704
(360) 386-1323
(360) 877-4423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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