Avian Adult Family Home LLC
NPI #1225647407 in Graham, Washington
Provider Information
- NPI Number
- 1225647407
- Entity Type
- Organization
- Organization Name
- Avian Adult Family Home LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 23, 2020
- Last Updated
- Jul 23, 2020
Practice Location
- Address
- 9427 194TH ST E
- City
- Graham
- State
- Washington
- ZIP Code
- 98338-8198
- Phone
- (253) 271-7383
Authorized Official
- Name
- DEDAN NJOROGE
- Title
- OWNER/ PROVIDER
- Phone
- (253) 310-1206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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