Provider Demographics
NPI:1619253747
Name:ESTHER WAMUYU MURIUKI DBA WAMUS FAMILY CARE HOME
Entity Type:Organization
Organization Name:ESTHER WAMUYU MURIUKI DBA WAMUS FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:WAMUYU
Authorized Official - Last Name:MURIUKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-499-9594
Mailing Address - Street 1:1251 SHELTER COVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106
Mailing Address - Country:US
Mailing Address - Phone:336-499-9594
Mailing Address - Fax:
Practice Address - Street 1:1251 SHELTER CV
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4417
Practice Address - Country:US
Practice Address - Phone:336-499-9594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-03
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-034-092310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility