CL
COUNTRY LIVING ADULT FAMILY HOME
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
SPANAWAY, WA
Licensed since
2008
Rate
—
Federal identifiers
NPI registry number1780859330
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameERMELINDA KNUPP
TitleADULT FAM HOME PROVIDER
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