Organization · Type 2 NPI

Sundance Adult Family Home LLC

Adult Care Home Facility · Spokane, WA

NPI number 1629785159 Active

Practice location

10216 N Sundance Dr
Spokane, WA 99208-9315

Fax (509) 984-6291

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed

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

Susan WaweruRegistered Nurse Spokane, WA NPI 1255819967

Other adult care home facility providers in Spokane

See all in Spokane →

NPI record

NPI: 1629785159
Entity type: Organization (Type 2)
Issued: Nov 3, 2022
Last updated: Nov 11, 2022
Status: Active

Other names

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Sundance Adult Family Home · doing business as
Sundance Adult Family Home · doing business as

Authorized official

Ms. Susan Mwiklai Waweru, RN
Manager
(508) 612-3875

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629785159

Sundance Adult Family Home LLC's National Provider Identifier is 1629785159, issued on Nov 3, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Spokane, WA. The record was last updated on Nov 11, 2022.