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MARY ADULT FAMILY HOME

Adult Care Home

Auburn, Washington

Provider NPI: 1184895906

Organization Information:
Organization Name:  MARY ADULT FAMILY HOME


Practice Location:
1438 DOGWOOD ST SE  AUBURN, WA 98092 US
Tel: 253-876-7726  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
WA656400

Other Provider Identifiers:

IssuerNumberStateType
098774WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS WA - Page 1