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Avenue Home LLC — NPI 1225894165, Puyallup, WA | NPI Central

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NPI 1225894165

OrganizationActive

Avenue Home LLC

NPI 1225894165 · Adult Care Home Facility · Puyallup, WA

Provider details

NPI number: 1225894165
Entity type: Organization
Primary specialty: Adult Care Home FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Esther Ndungu Macharia, Resident Care Manager(253) 348-6004

Specialties & taxonomies

Adult Care Home FacilityPrimary311ZA0620X
Nursing & Custodial Care Facilities

Practice location

719 23rd Ave Se

Puyallup, WA 98372-4662

Phone: (703) 861-7446

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

719 23rd Ave Se

Puyallup, WA 98372-4662

Other names (DBA / former)

Doing business as: Avenue Home

Registry dates

Enumerated: 2024-02-27
Last updated: 2024-02-27
Certified: 2024-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.