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Vine Maple Care Home Llc
Adult Care Home Facility in Lakewood, Washington
NPI 1154891224

Vine Maple Care Home Llc is an Adult Care Home Facility based in Lakewood, WA and is specialized in Adult Care Home. Vine Maple Care Home Llc practices in Lakewood, WA. The NPI Number for Vine Maple Care Home Llc is 1154891224 and holds a License No. (Washington).

The current practice location address for Vine Maple Care Home Llc is 12530 Vine Maple Dr Sw, Lakewood, WA and can be reached out via phone at 253-301-0099 and via fax at 253-235-3645.

Location: 12530 Vine Maple Dr Sw, Lakewood, WA, 98499-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154891224
Provider Name
Vine Maple Care Home Llc
Credential
Provider Entity Type
Organization
Address
12530 Vine Maple Dr Sw, Lakewood, WA, 98499-1134
Phone Number
253-301-0099
Fax Number
253-235-3645
Provider Enumeration Date
11/30/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2107449 05 WA
institution
Provider Business Practice Location Address Details
Address
12530 Vine Maple Dr Sw
City
Lakewood
State
Washington
Zip
98499-1134
Phone Number
253-301-0099
Fax Number
253-235-3645
person
Provider Business Mailing Address Details
Address
12530 Vine Maple Dr Sw
City
Lakewood
State
Washington
Zip
98499-1134
Phone Number
253-301-0099
Fax Number
253-235-3645
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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