Individual provider · Type 1 NPI
Teresiah Mugi
Adult Care Home Facility · Medical Lake, WA
NPI number
1215823646
Active
Practice location
420 S Legg St
Medical Lake, WA 99022-8903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 757800 (WA) |
| Licensed Practical Nurse | 164W00000X | LP61330941 (WA) |
Adult Care Home Facility: 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.
About NPI 1215823646
Teresiah Mugi's National Provider Identifier is 1215823646, issued on Jun 13, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Medical Lake, WA. The record was last updated on Jun 13, 2025.