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NPI 1508708934

NPI 1508708934 : ALOHA HOUSE AFH, LLC : LAKEWOOD, WA

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General NPI Number Information
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    NPI Number           |    1508708934
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALOHA HOUSE AFH, LLC 
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Dates
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    Enumeration Date     |    04/06/2026
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    Last Update Date     |    04/06/2026
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Provider Practice Location Address
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    Address Line         |    8318 92ND ST SW 
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    City                 |    LAKEWOOD
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    State                |    WA
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    Zip                  |    98498-4603
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    Country              |    US
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    Telephone            |    206-572-1627
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12536 33RD AVE NE APT 107 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98125-4598
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    Country              |    US
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    Telephone            |    562-455-9201
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OPERATOR
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    Name                 |     JEANINE  CALCETA 
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    Credential           |    M.ED.
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    Telephone            |    562-455-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3104A0625X
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    Taxonomy Name        |    Assisted Living Facility (Mental Illness)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3104A0630X
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    Taxonomy Name        |    Assisted Living Facility (Behavioral Disturbances)
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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