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General NPI Number Information
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NPI Number | 1740194703
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Entity Type | Organization
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Legal Business Name | THE PROMISE ADULT FAMILY HOME
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 4707 N BOLIVAR COURT
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-2594
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Country | US
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Telephone | 509-798-8115
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Fax | 509-267-1411
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Provider Business Mailing Address
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Address Line | 4707 N BOLIVAR COURT
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216
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Country | US
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Telephone | 509-798-8115
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Fax | 509-267-1411
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Authorized Official
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Title or Position | PROVIDER
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Name | JULIA HENTGES
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Credential |
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Telephone | 509-608-1097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State | NULL
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