Provider Demographics
NPI:1184430753
Name:LAKEWOOD ADULT FAMILY CARE HOME INC.
Entity type:Organization
Organization Name:LAKEWOOD ADULT FAMILY CARE HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NEEMA
Authorized Official - Middle Name:CHEMATUI
Authorized Official - Last Name:LOKENO
Authorized Official - Suffix:
Authorized Official - Credentials:NEEMA LOKENO
Authorized Official - Phone:253-314-8976
Mailing Address - Street 1:6217 85TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2633
Mailing Address - Country:US
Mailing Address - Phone:253-426-1236
Mailing Address - Fax:
Practice Address - Street 1:6217 85TH ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2633
Practice Address - Country:US
Practice Address - Phone:253-426-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home