Healthcare Provider Details

I. General information

NPI: 1134043797
Provider Name (Legal Business Name): A FABULOUS PLACE AFH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 N MCDONALD RD
SPOKANE VALLEY WA
99216-0756
US

IV. Provider business mailing address

117 N MCDONALD RD
SPOKANE VALLEY WA
99216-0756
US

V. Phone/Fax

Practice location:
  • Phone: 509-309-3170
  • Fax: 509-309-0554
Mailing address:
  • Phone: 509-309-3170
  • Fax: 509-309-0554

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: ERNEST MWANIKI KARIUKI
Title or Position: PROVIDER
Credential:
Phone: 509-309-3170