Provider Demographics
NPI:1376110692
Name:ALLYS CARING ADULT FAMILY HOME LLC
Entity Type:Organization
Organization Name:ALLYS CARING ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NDIRANGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-474-1332
Mailing Address - Street 1:11920 N STEVENS CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2839
Mailing Address - Country:US
Mailing Address - Phone:509-474-1332
Mailing Address - Fax:
Practice Address - Street 1:11920 N STEVENS CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2839
Practice Address - Country:US
Practice Address - Phone:509-474-1332
Practice Address - Fax:509-474-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-06
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health