97th Avenue Adult Family Home LLC
NPI #1235971581 in Lakewood, Washington
Provider Information
- NPI Number
- 1235971581
- Entity Type
- Organization
- Organization Name
- 97th Avenue Adult Family Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 8, 2024
- Last Updated
- Jun 8, 2024
Practice Location
- Address
- 7303 97TH AVE SW
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98498-3324
- Phone
- (253) 238-7203
Authorized Official
- Name
- CAROLINE KILEMI
- Title
- CEO
- Phone
- (253) 238-7203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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