Organization · Type 2 NPI

Star Lake Adult Family Home

Adult Care Home Facility · Kent, WA

NPI number 1932379534 Active

Practice location

3509 S 272nd St
Kent, WA 98032-7062

Call (253) 859-3220 Map

Fax (253) 854-0494

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X750042 (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 1932379534

Star Lake Adult Family Home's National Provider Identifier is 1932379534, issued on Mar 11, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kent, WA. The record was last updated on Jun 17, 2008.