Organization
CASCADE COMFORT ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONY KIMANI (PROVIDER)
(253) 534-8810
Entity
Organization
Contact information
Practice address
12614 REBECCA DR SW, LAKEWOOD, WA 98499-1128
(253) 534-8810
Mailing address
12614 REBECCA DR SW, LAKEWOOD, WA 98499-1128
(253) 534-8810
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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