Certified Care Adult Family Home LLC
NPI #1154207983 in Spokane, Washington
Provider Information
- NPI Number
- 1154207983
- Entity Type
- Organization
- Organization Name
- Certified Care Adult Family Home LLC
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Aug 15, 2025
- Last Updated
- Aug 15, 2025
Practice Location
- Address
- 4111 W ROWAN AVE
- City
- Spokane
- State
- Washington
- ZIP Code
- 99205-7665
- Phone
- (863) 512-1570
Authorized Official
- Name
- SAMUEL UDOMA
- Title
- PROVIDER
- Phone
- (863) 512-1570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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