Healthcare Provider Details

I. General information

NPI: 1649180738
Provider Name (Legal Business Name): AVIAN ADULT FAMILY HOME H LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9427 194TH ST E
GRAHAM WA
98338-8198
US

IV. Provider business mailing address

9427 194TH ST E
GRAHAM WA
98338-8198
US

V. Phone/Fax

Practice location:
  • Phone: 253-341-8938
  • Fax: 253-409-2590
Mailing address:
  • Phone: 253-341-8938
  • Fax: 253-409-2590

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: BRIGITTE KAROKI
Title or Position: OWNER/PROVIDER
Credential:
Phone: 253-341-8938