NPI 1164055091
Golden Community Care Adult Family Home, LLC
Practice location
- Address
- 12121 E Mission Ave STE C, Spokane Valley, WA 99206-4832
- Phone
- (509) 443-3102
Authorised official
- Name
- Mahoulome Harold Guidi
- Title
- Owner/Provider
- Phone
- (509) 280-7164
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1164055091
- Entity type
- Organization
- NPI issued
- 19 Feb 2020
- Record last updated
- 19 Feb 2020
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.