Healthcare Provider Details

I. General information

NPI: 1831024967
Provider Name (Legal Business Name): PURITY'S CALICO COTTAGE AFH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11617 E 11TH AVE
SPOKANE VALLEY WA
99206-5492
US

IV. Provider business mailing address

11617 E 11TH AVE
SPOKANE VALLEY WA
99206-5492
US

V. Phone/Fax

Practice location:
  • Phone: 509-263-5416
  • Fax: 509-863-9561
Mailing address:
  • Phone: 509-263-5416
  • Fax: 509-863-9561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. PURITY N KARANJA
Title or Position: OWNER
Credential:
Phone: 509-263-5416