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Kong Chi
Adult Care Home Facility in Puyallup, Washington
NPI 1467199828

Kong Chi is an Adult Care Home Facility based in Puyallup, WA and is specialized in Adult Care Home. Kong Chi practices in Puyallup, WA. The NPI Number for Kong Chi is 1467199828 and holds a License No. 750304 (Washington).

The current practice location address for Kong Chi is 13617 109Th Street Ct E, Puyallup, WA and can be reached out via phone at 253-445-4329.

Location: 13617 109Th Street Ct E, Puyallup, WA, 98374-5607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467199828
Provider Name
Kong Chi
Credential
Provider Entity Type
Individual
Gender
Male
Address
13617 109Th Street Ct E, Puyallup, WA, 98374-5607
Phone Number
253-445-4329
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13617 109Th Street Ct E
City
Puyallup
State
Washington
Zip
98374-5607
Phone Number
253-445-4329
Fax Number
person
Provider Business Mailing Address Details
Address
13617 109Th Street Ct E
City
Puyallup
State
Washington
Zip
98374-5607
Phone Number
253-445-4329
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.
750304 (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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