Individual provider · Type 1 NPI
Dibash KC
Adult Care Home Facility · Shoreline, WA
NPI number
1396589727
Active
Practice location
912 N 196th Ct
Shoreline, WA 98133-3540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 756815 (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 1396589727
Dibash KC's National Provider Identifier is 1396589727, issued on Jun 20, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Shoreline, WA. The record was last updated on Jun 20, 2024.