Healthcare Provider Details

I. General information

NPI: 1467372284
Provider Name (Legal Business Name): AFFECTIONATE CARE ADULT FAMILY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4227 W ARROWHEAD RD
SPOKANE WA
99208-4966
US

IV. Provider business mailing address

4227 W ARROWHEAD RD
SPOKANE WA
99208-4966
US

V. Phone/Fax

Practice location:
  • Phone: 509-315-9957
  • Fax:
Mailing address:
  • Phone: 509-315-9957
  • Fax:

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: PERIS KIARIE
Title or Position: OWNER
Credential:
Phone: 509-608-1900