NPI 1215757190

Kingdom Family NW

Organisation Case Management Agency Vancouver, WA

Practice location

Address: 10804 NE Highway 99, Vancouver, WA 98686-5655
Phone: (360) 342-8622
Mailing address: 821 NW 175th Way, Ridgefield, WA 98642-6963

Authorised official

Name: Chocho Faifai
Title: Executive Director
Phone: (360) 216-9846

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1215757190
Entity type: Organization
NPI issued: 15 Oct 2024
Record last updated: 18 Mar 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.