Provider Demographics
NPI:1922824424
Name:CUIDADO B ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:CUIDADO B ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:KIBIKO
Authorized Official - Last Name:MUNGAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-531-9627
Mailing Address - Street 1:15706 253RD ST E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-8654
Mailing Address - Country:US
Mailing Address - Phone:206-531-9627
Mailing Address - Fax:
Practice Address - Street 1:15706 253RD ST E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-8654
Practice Address - Country:US
Practice Address - Phone:206-531-9627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CUIDADO ADULT FAMILY HOME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health