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Organization

SMILING HEART ADULT FAMILY HOME LLC

Active
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Organization

SMILING HEART ADULT FAMILY HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THUWEBA NDUNGE KIMOTHO HOME CARE AIDE (HCA) (PROVIDER/OWNER)
(253) 632-9374
Entity
Organization

Contact information

Practice address
62 W SHORE AVE SW, LAKEWOOD, WA 98498-5840
(253) 212-2079
(253) 503-1960
Mailing address
62 W SHORE AVE SW, LAKEWOOD, WA 98498-5840
(253) 212-2079
(253) 503-2079

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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