person
Giovanni Gonzalez, CNA
Adult Care Home Facility in Lacey, Washington
NPI 1952982548

Giovanni Gonzalez is an Adult Care Home Facility based in Lacey, WA and is specialized in Adult Care Home. Giovanni Gonzalez practices in Lacey, WA and has the professional credentials of CNA. The NPI Number for Giovanni Gonzalez is 1952982548 and holds a License No. 754926 (Washington).

The current practice location address for Giovanni Gonzalez is 3823 Rossberg St Se, Lacey, WA and can be reached out via phone at 253-304-6202.

Location: 3823 Rossberg St Se, Lacey, WA, 98503-3590
person
Provider Profile Details
NPI Number
1952982548
Provider Name
Giovanni Gonzalez
Credential
CNA
Provider Entity Type
Individual
Gender
Male
Address
3823 Rossberg St Se, Lacey, WA, 98503-3590
Phone Number
253-304-6202
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3823 Rossberg St Se
City
State
Zip
98503-3590
Phone Number
253-304-6202
Fax Number
person
Provider Business Mailing Address Details
Address
3823 Rossberg St Se
City
State
Zip
98503-3590
Phone Number
253-304-6202
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
754926 (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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