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Divinity Adult Family Home, Llc
Adult Care Home Facility in Vancouver, Washington
NPI 1568862134

Divinity Adult Family Home, Llc is an Adult Care Home Facility based in La Center, WA and is specialized in Adult Care Home. Divinity Adult Family Home, Llc practices in Vancouver, WA. The NPI Number for Divinity Adult Family Home, Llc is 1568862134 and holds a License No. RN60100368 (Washington).

The current practice location address for Divinity Adult Family Home, Llc is 5902 Kansas St, Vancouver, WA and can be reached out via phone at 360-518-9998.

Location: 5902 Kansas St, Vancouver, WA, 98629-4731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568862134
Provider Name
Divinity Adult Family Home, Llc
Credential
Provider Entity Type
Organization
Address
5902 Kansas St, Vancouver, WA, 98629-4731
Phone Number
360-518-9998
Fax Number
Provider Enumeration Date
09/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5902 Kansas St
City
Vancouver
State
Washington
Zip
98661-6918
Phone Number
360-518-9998
Fax Number
person
Provider Business Mailing Address Details
Address
5902 Kansas St
City
Vancouver
State
Washington
Zip
98661-6918
Phone Number
360-518-9998
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.
RN60100368 (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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