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Divinity Adult Family Home, Llc
Adult Care Home Facility in La Center, Washington
NPI 1598160186

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 La Center, WA. The NPI Number for Divinity Adult Family Home, Llc is 1598160186 and holds a License No. 201140065RN (Washington).

The current practice location address for Divinity Adult Family Home, Llc is 38718 Ne Christensen Rd, La Center, WA and can be reached out via phone at 360-518-9998.

Location: 38718 Ne Christensen Rd, La Center, WA, 98629-4731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598160186
Provider Name
Divinity Adult Family Home, Llc
Credential
Provider Entity Type
Organization
Address
38718 Ne Christensen Rd, La Center, WA, 98629-4731
Phone Number
360-518-9998
Fax Number
Provider Enumeration Date
10/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
38718 Ne Christensen Rd
City
La Center
State
Washington
Zip
98629-4731
Phone Number
360-518-9998
Fax Number
person
Provider Business Mailing Address Details
Address
38718 Ne Christensen Rd
City
La Center
State
Washington
Zip
98629-4731
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.
201140065RN (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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