SearchWashingtonAdult Care Home Facility

Kong Chi

NPI 1467199828 · on the registry since 2022 · sole proprietor

Practice

Address
13617 109th Street Ct E
Puyallup, WA 98374
Phone
(253) 445-4329

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington