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Avenue Home Llc
Adult Care Home Facility in Puyallup, Washington
NPI 1225894165

Avenue Home Llc is an Adult Care Home Facility based in Puyallup, WA and is specialized in Adult Care Home. Avenue Home Llc practices in Puyallup, WA. The NPI Number for Avenue Home Llc is 1225894165 and holds a License No. (Washington).

The current practice location address for Avenue Home Llc is 719 23Rd Ave Se, Puyallup, WA and can be reached out via phone at 703-861-7446.

Location: 719 23Rd Ave Se, Puyallup, WA, 98372-4662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225894165
Provider Name
Avenue Home Llc
Credential
Provider Entity Type
Organization
Address
719 23Rd Ave Se, Puyallup, WA, 98372-4662
Phone Number
703-861-7446
Fax Number
Provider Enumeration Date
02/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
719 23Rd Ave Se
City
Puyallup
State
Washington
Zip
98372-4662
Phone Number
703-861-7446
Fax Number
person
Provider Business Mailing Address Details
Address
719 23Rd Ave Se
City
Puyallup
State
Washington
Zip
98372-4662
Phone Number
703-861-7446
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
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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