OrganizationActive
Devine Care Supported Living Corporation
NPI 1033935143 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bellevue, WA
Provider details
- NPI number
- 1033935143
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christine Munyiri, Ceo(253) 240-7463
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
1400 112th Ave Se Ste 100
Bellevue, WA 98004-6901
Phone: (253) 240-7463
Approximate (ZIP-level) locationGet directions
Mailing address
1400 112th Ave Se Ste 100
Bellevue, WA 98004-6901
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2024-11-25
- Certified
- 2024-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.