NPI 1013884758

Spokane Living Water Adult Family Home LLC

Organisation Adult Care Home Facility Spokane, WA

Practice location

Address: 1728 N Stone St, Spokane, WA 99207-5253
Phone: (509) 979-1041
Fax: (509) 824-7178

Authorised official

Name: Dmitriy Lisovenko
Title: Owner
Phone: (509) 979-1041

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1013884758
Entity type: Organization
NPI issued: 18 Oct 2025
Record last updated: 18 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.