Provider Demographics
NPI:1871329334
Name:AIDE ASSISTED LIVING LLC
Entity type:Organization
Organization Name:AIDE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MUKAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MWANSAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-544-7235
Mailing Address - Street 1:7100 FORT DENT WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-8553
Mailing Address - Country:US
Mailing Address - Phone:253-544-7235
Mailing Address - Fax:
Practice Address - Street 1:7100 FORT DENT WAY STE 100
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-8553
Practice Address - Country:US
Practice Address - Phone:253-544-7235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care