Individual provider · Type 1 NPI
Ricardo Ware
Adult Care Home Facility · Puyallup, WA
NPI number
1679331573
Active
Practice location
17321 136th Avenue Ct E
Puyallup, WA 98374-9615
Mailing address
23716 77th Ave E
Graham, WA 98338-9794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 757030 (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 1679331573
Ricardo Ware's National Provider Identifier is 1679331573, issued on Mar 6, 2024. 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 Mar 6, 2024.