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Habtamu D Poage
Adult Care Home Facility in Spokane, Washington
NPI 1255102620

Habtamu D Poage is an Adult Care Home Facility based in Spokane, WA and is specialized in Adult Care Home. Habtamu D Poage practices in Spokane, WA. The NPI Number for Habtamu D Poage is 1255102620 and holds a License No. 756752 (Washington).

The current practice location address for Habtamu D Poage is 705 S Freya St, Spokane, WA and can be reached out via phone at 509-475-0038.

Location: 705 S Freya St, Spokane, WA, 99202-5238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255102620
Provider Name
Habtamu D Poage
Credential
Provider Entity Type
Individual
Gender
Male
Address
705 S Freya St, Spokane, WA, 99202-5238
Phone Number
509-475-0038
Fax Number
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
705 S Freya St
City
Spokane
State
Washington
Zip
99202-5238
Phone Number
509-475-0038
Fax Number
person
Provider Business Mailing Address Details
Address
705 S Freya St
City
Spokane
State
Washington
Zip
99202-5238
Phone Number
509-475-0038
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.
756752 (Washington)
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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