LYDIE ADULT FAMILY HOME LLC

TACOMA, WA
NPI1184319063
Entity TypeOrganization
Authorized ContactJEAN SYLVAIN MISESO KABUYA
Provider
206-850-9109
Organization Subpart ?No
Primary Taxonomy251J00000X Nursing Care
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
LYDIE ADULT FAMILY HOME LLC
11019 50TH AVE E
TACOMA, WA 98446-5303
Phone number: 206-850-9109
Mailing Address
LYDIE ADULT FAMILY HOME LLC
16816 116TH AVENUE CT E
PUYALLUP, WA 98374-9119
Phone number: 206-850-9109
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