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General NPI Number Information
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NPI Number | 1417844705
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Entity Type | Organization
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Legal Business Name | DEVOTED CARE ADULT FAMILY HOME LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 7115 N GREENWOOD PL
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City | SPOKANE
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State | WA
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Zip | 99208-5063
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Country | US
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Telephone | 253-326-6967
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Fax | 509-800-4428
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Provider Business Mailing Address
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Address Line | 7115 N GREENWOOD PL
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City | SPOKANE
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State | WA
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Zip | 99208-5063
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Country | US
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Telephone | 509-868-1182
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SAMUEL KABUI
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Credential |
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Telephone | 253-326-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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