Provider Demographics
NPI:1811572464
Name:LAGHTER ADULT FAMILY HOME LLC
Entity Type:Organization
Organization Name:LAGHTER ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE PROVIDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:W
Authorized Official - Last Name:MUHUGA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:206-491-4810
Mailing Address - Street 1:2819 CLAREMONT DR
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2325
Mailing Address - Country:US
Mailing Address - Phone:206-491-4810
Mailing Address - Fax:
Practice Address - Street 1:2819 CLAREMONT DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-2325
Practice Address - Country:US
Practice Address - Phone:206-491-4810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAUGHTER ADULT FAMILY HOME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty