St Nino Adult Family Home
NPI #1710153937 in Spanaway, Washington
Provider Information
- NPI Number
- 1710153937
- Entity Type
- Organization
- Organization Name
- St Nino Adult Family Home
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 7, 2008
- Last Updated
- May 7, 2008
Practice Location
- Address
- 19620 8TH AVE E
- City
- Spanaway
- State
- Washington
- ZIP Code
- 98387
- Phone
- (253) 875-9077
Authorized Official
- Name
- REZA S VARGAS, NAR
- Title
- PROVIDER/OWNER
- Phone
- (253) 875-9077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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