Organization
GRANDE CREEK AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MUTUKU (PROVIDER/OWNER)
(509) 869-3961
Entity
Organization
Contact information
Practice address
3105 N RIO GRANDE RD, OTIS ORCHARDS, WA 99027-5016
(509) 869-3961
Mailing address
3105 N RIO GRANDE RD, OTIS ORCHARDS, WA 99027-5016
(509) 869-3961
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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