Organization
FOREST PARK ADULT FAMILY HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORICA MIHAILA CNA (OWNER)
(253) 833-4815
Entity
Organization
Contact information
Practice address
17522 SE 338TH ST, AUBURN, WA 98092-5212
(253) 833-4815
Mailing address
17522 SE 338TH ST, AUBURN, WA 98092-5212
(253) 833-4815
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752403
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279683
—
WA
Enumeration date
10/30/2014
Last updated
10/30/2014
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