Individual provider · Type 1 NPI
Poonam Kalsi
Adult Care Home Facility · Ephrata, WA
NPI number
1417809963
Active
Practice location
1106 9th Ave NE
Ephrata, WA 98823-9026
Mailing address
330 10th Ave SW
Ephrata, WA 98823-2065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 758470 (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.
Another provider at this address
About NPI 1417809963
Poonam Kalsi's National Provider Identifier is 1417809963, issued on Feb 9, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Ephrata, WA. The record was last updated on Feb 9, 2026.