Star Lake Adult Family Home
Star Lake Adult Family Home is an Adult Care Home Facility in Kent, Washington. Licensed in Washington. Registered with an NPI since 2008.
- Licensed in
- WA
- In the registry since
- 2008
Practice location Address checks out
3509 S 272nd StKent, WA 98032-7062
Phone: (253) 859-3220
Fax: (253) 854-0494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 750042 (WA) |
|---|
Record details
| NPI number | 1932379534 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vasilica David — Owner/Provider · (253) 859-3220 |
| NPI enumerated | March 11, 2008 |
| Last updated in NPPES | June 17, 2008 |
| Mailing address | 3509 S 272nd St, Kent, WA 98032-7062 |
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