Forest Park Adult Family Home Inc

NPI 1760887830 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1760887830
Enumeration Date 10/30/2014
Last Updated 10/30/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name FLORICA FLORICA
Position OWNER
Phone (253) 833-4815
Fax
Practice Location
17522 SE 338TH ST
AUBURN WA, 98092-5212, US
Phone (253) 833-4815
Fax
Business Location
17522 SE 338TH ST
AUBURN WA, 98092-5212, US
Phone (253) 833-4815
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State Washington
License Number 752403
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According to our database, Forest Park Adult Family Home Inc NPI is 1760887830, taxonomy code is 311ZA0620X and license number is 752403, license state is located at Washington. Forest Park Adult Family Home Inc physically located at 17522 Se 338th St, Auburn WA, 98092-5212. NPI Number 1033115704 has the healthcare provider type.

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1760887830 NPI number is provided on an as is basis without warranty of any kind. 1760887830 is maintained by the National Plan & Provider Enumeration System. The contents of Forest Park Adult Family Home Inc are for informational purposes only.