Individual provider · Type 1 NPI

Bakhita Mukundi

Adult Care Home Facility · Tacoma, WA

NPI number 1649177494 Active

Practice location

15405 11th Avenue Ct E
Tacoma, WA 98445-1206

Fax (253) 645-3953

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X756447 (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.

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About NPI 1649177494

Bakhita Mukundi's National Provider Identifier is 1649177494, issued on Oct 23, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tacoma, WA. The record was last updated on Oct 23, 2026.