Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vintage Adult Family Home LLC

Organization Registered Nurse · NPI 1275353005

Vintage Adult Family Home LLC is a Registered Nurse in Lakewood, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9111 Forest Ave SW
Lakewood, WA 98498-3523
Phone: (253) 317-3676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1275353005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Wamwaki — Co-Owner · (253) 317-3676
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address9111 Forest Ave Sw, Lakewood, WA 98498-3523

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