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NPI Code Detail

MEDICARE: AMAZING GRACE SKILLED CARE ADULT FAMILY HOME LLC

MEDICARE: AMAZING GRACE SKILLED CARE ADULT FAMILY HOME LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse

General Provider Information

NPI Number : 1407734759
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAZING GRACE SKILLED CARE ADULT FAMILY HOME LLC
Provider Business Mailing Address
First Line : 3556 S WAPITI LN
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-1208
Country : US
Telephone Number : 509-816-1681
Fax Number : 509-934-1424
Provider Business Practice Location Address
First Line : 3556 S WAPITI LN
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-1208
Country : US
Telephone Number : 509-816-1681
Fax Number : 509-934-1424
Authorized Official
Title or Position : RN/OWNER
Name : EMMY M SILAYI
Credential :
Telephone Number : 509-816-1681
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “AMAZING GRACE SKILLED CARE ADULT FAMILY HOME LLC ” Practice Location

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