Organization
PHYLLIS CARES ADULT FAMILY HOME ONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIUD GITHIRI PROVIDER (PROVIDER)
(253) 459-2540
Entity
Organization
Contact information
Practice address
7626 97TH AVE SW, LAKEWOOD, WA 98498-3246
(253) 503-7133
(253) 503-7151
Mailing address
7626 97TH AVE SW, LAKEWOOD, WA 98498-3246
(253) 503-7133
(253) 503-7151
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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