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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1438 DOGWOOD ST SE AUBURN, WA 98092 US
Tel: 253-876-7726 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | WA | 656400 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
098774 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin