Healthcare Provider Details

I. General information

NPI: 1275468191
Provider Name (Legal Business Name): A PEACEFUL PLACE ADULT FAMILY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1908 S WHIPPLE RD
SPOKANE VALLEY WA
99206-5725
US

IV. Provider business mailing address

1908 S WHIPPLE RD
SPOKANE VALLEY WA
99206-5725
US

V. Phone/Fax

Practice location:
  • Phone: 509-381-5107
  • Fax: 509-402-1377
Mailing address:
  • Phone: 509-381-5107
  • Fax: 509-402-1377

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: SALOME MUNYORI
Title or Position: PROVIDER
Credential: ARNP, PMHNP-BC
Phone: 404-483-8731