Kydd at Heart Adult Family Home LLC
NPI #1275814121 in Lacey, Washington
Provider Information
- NPI Number
- 1275814121
- Entity Type
- Organization
- Organization Name
- Kydd at Heart Adult Family Home LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 6, 2011
- Last Updated
- Sep 6, 2011
Practice Location
- Address
- 4810 18TH AVE SE
- Address 2
- STE 2
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-2652
- Phone
- (360) 790-2863
Authorized Official
- Name
- WENDY ANN KYDD, CNA
- Title
- PROVIDER
- Phone
- (360) 790-2863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
| Assisted Living Facility |
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