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Country Living Adult Family Home
Adult Care Home Facility in Spanaway, Washington
NPI 1780859330

Country Living Adult Family Home is an Adult Care Home Facility based in Spanaway, WA and is specialized in Adult Care Home. Country Living Adult Family Home practices in Spanaway, WA. The NPI Number for Country Living Adult Family Home is 1780859330 and holds a License No. 750777 (Washington).

The current practice location address for Country Living Adult Family Home is 21514 47Th Ave E, Spanaway, WA and can be reached out via phone at 253-875-6663 and via fax at 253-875-6663.

Location: 21514 47Th Ave E, Spanaway, WA, 98387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780859330
Provider Name
Country Living Adult Family Home
Credential
Provider Entity Type
Organization
Address
21514 47Th Ave E, Spanaway, WA, 98387
Phone Number
253-875-6663
Fax Number
253-875-6663
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21514 47Th Ave E
City
Spanaway
State
Washington
Zip
98387
Phone Number
253-875-6663
Fax Number
253-875-6663
person
Provider Business Mailing Address Details
Address
21514 47Th Ave E
City
Spanaway
State
Washington
Zip
98387
Phone Number
253-875-6663
Fax Number
253-875-6663
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
750777 (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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