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1275353005
VINTAGE ADULT FAMILY HOME LLC
LAKEWOOD, WA
NPI
1275353005
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Entity Type
Organization
Authorized Contact
GRACE W. WAMWAKI
Co Owner
253-317-3676
Organization Subpart ?
No
Primary Taxonomy
163W00000X Registered Nurse
Enumeration Date
2024-10-16
Last Update Date
2024-10-21
Business Address
VINTAGE ADULT FAMILY HOME LLC
9111 FOREST AVE SW
LAKEWOOD, WA 98498-3523
Phone number: 253-317-3676
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Mailing Address
VINTAGE ADULT FAMILY HOME LLC
9111 FOREST AVE SW
LAKEWOOD, WA 98498-3523
Phone number: 253-317-3676
Copy
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