Angela's Adult Family Home
NPI #1578720157 in Covington, Washington
Provider Information
- NPI Number
- 1578720157
- Entity Type
- Organization
- Organization Name
- Angela's Adult Family Home
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 26308 185TH AVE SE
- City
- Covington
- State
- Washington
- ZIP Code
- 98042-8425
- Phone
- (253) 638-8338
Authorized Official
- Name
- MRS. ANGELA DEE IVERSON, C.N.A.
- Title
- OWNER/ PROVIDER
- Phone
- (253) 638-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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