OrganizationActive
Country Living Adult Family Home
NPI 1780859330 · Adult Care Home Facility · Spanaway, WA
Provider details
- NPI number
- 1780859330
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ermelinda Knupp, Adult Fam Home Provider(253) 875-6663
- License
- 750777 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
21514 47th Ave E
Spanaway, WA 98387
Phone: (253) 875-6663
Fax: (253) 875-6663
Approximate (ZIP-level) locationGet directions
Mailing address
21514 47th Ave E
Spanaway, WA 98387
Registry dates
- Enumerated
- 2008-04-24
- Last updated
- 2008-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.