Individual provider · Type 1 NPI
Kong Chi
Adult Care Home Facility · Puyallup, WA
NPI number
1467199828
Active
Practice location
13617 109th Street Ct E
Puyallup, WA 98374-5607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 750304 (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.
Other adult care home facility providers in Puyallup
About NPI 1467199828
Kong Chi's National Provider Identifier is 1467199828, issued on May 17, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Puyallup, WA. The record was last updated on May 17, 2022.