NPI 1376265306

Residence Choice Adult Family Home

Organisation Adult Care Home Facility Shoreline, WA

Practice location

Address: 17400 17th Pl NE, Shoreline, WA 98155-5202
Phone: (302) 357-5104
Fax: (425) 200-6172

Authorised official

Name: James Mwangi
Title: Provider
Phone: (302) 357-5104

Registered specialties (10)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Community Based Hospice Care Agency

Agencies Taxonomy 251G00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Inpatient Hospice

Nursing & Custodial Care Facilities Taxonomy 315D00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Nursing Home Administrator

Nursing Service Related Providers Taxonomy 376G00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1376265306
Entity type: Organization
NPI issued: 15 Sep 2022
Record last updated: 15 Sep 2022

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.