| NPI | 1225647688 |
|---|---|
| Doing Business As | AVIAN ADULT FAMILY HOME D LLC |
| Entity Type | Organization |
| Authorized Contact | ROSE NDIRITU Provider 253-341-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |