OrganizationActive
A Part of Our Family
NPI 1548047061 · Adult Care Home Facility · Kennewick, WA
Provider details
- NPI number
- 1548047061
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cindy Stover, Owner(509) 591-2803
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2618 W 10th Ave
Kennewick, WA 99336-4814
Phone: (509) 591-2803
Fax: (509) 591-0920
Approximate (ZIP-level) locationGet directions
Mailing address
2618 W 10th Ave
Kennewick, WA 99336-4814
Registry dates
- Enumerated
- 2023-09-08
- Last updated
- 2023-09-08
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.