Individual provider · Type 1 NPI
Rod G. Mosquera
Adult Care Home Facility · Lacey, WA
NPI number
1730094483
Active
Practice location
4975 45th Ave SE
Lacey, WA 98503-4305
Fax (360) 995-5027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 759124 (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 Lacey
About NPI 1730094483
Rod G. Mosquera's National Provider Identifier is 1730094483, issued on Aug 17, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lacey, WA. The record was last updated on Aug 17, 2026.