Healthcare Provider Details

I. General information

NPI: 1316860505
Provider Name (Legal Business Name): DEBCARE AFH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6723 5TH CT SE
LACEY WA
98503-7918
US

IV. Provider business mailing address

6723 5TH CT SE
LACEY WA
98503-7918
US

V. Phone/Fax

Practice location:
  • Phone: 269-290-9481
  • Fax: 360-878-8722
Mailing address:
  • Phone: 269-290-9481
  • Fax: 360-878-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: DEBBORAH ANYANGO MUNGA
Title or Position: OWNER/PROVIDER
Credential:
Phone: 269-290-9481