Golden Community Care Adult Family Home, LLC
NPI #1164055091 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1164055091
- Entity Type
- Organization
- Organization Name
- Golden Community Care Adult Family Home, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Feb 19, 2020
Practice Location
- Address
- 12121 E MISSION AVE STE C
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-4832
- Phone
- (509) 443-3102
Authorized Official
- Name
- MAHOULOME HAROLD GUIDI
- Title
- OWNER/PROVIDER
- Phone
- (509) 280-7164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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