Organization · Type 2 NPI

Country Living Adult Family Home

Adult Care Home Facility · Spanaway, WA

NPI number 1780859330 Active

Practice location

21514 47th Ave E
Spanaway, WA 98387

Call (253) 875-6663 Map

Fax (253) 875-6663

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X750777 (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 1780859330

Country Living Adult Family Home's National Provider Identifier is 1780859330, issued on Apr 24, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Spanaway, WA. The record was last updated on Apr 24, 2008.