Organization
MACEDONIA ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES NJUGUNA (PROVIDER)
(253) 507-4113
Entity
Organization
Contact information
Practice address
9715 73RD ST SW, LAKEWOOD, WA 98498-3303
(253) 507-4113
Mailing address
9715 73RD ST SW, LAKEWOOD, WA 98498-3303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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