Healthcare Provider Details

I. General information

NPI: 1154241529
Provider Name (Legal Business Name): 100 ACRE AFH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 S 325TH ST
FEDERAL WAY WA
98003-5933
US

IV. Provider business mailing address

1036 S 325TH ST
FEDERAL WAY WA
98003-5933
US

V. Phone/Fax

Practice location:
  • Phone: 206-376-5165
  • Fax: 253-946-4571
Mailing address:
  • Phone: 206-376-5165
  • Fax: 253-946-4571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: DARRYL LAPIGUERA
Title or Position: OWNER
Credential:
Phone: 206-376-5165