NPI | 1225894165 |
---|---|
Doing Business As | AVENUE HOME |
Entity Type | Organization |
Authorized Contact | ESTHER NDUNGU MACHARIA Resident Care Manager 253-348-6004 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-02-27 |