Kingdom Family NW
NPI #1215757190 in Vancouver, Washington
Provider Information
- NPI Number
- 1215757190
- Entity Type
- Organization
- Organization Name
- Kingdom Family NW
- Primary Specialty
- Case Management
- Enumeration Date
- Oct 15, 2024
- Last Updated
- Mar 18, 2025
Practice Location
- Address
- 10804 NE HIGHWAY 99
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98686-5655
- Phone
- (360) 342-8622
Authorized Official
- Name
- MR. CHOCHO FAIFAI SR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (360) 216-9846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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