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MOUNTAIN PALMS MANOR ADULT FAMILY HOME LLC

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Company Details

Legal Name: MOUNTAIN PALMS MANOR ADULT FAMILY HOME LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 5th 2021
Expiration date: 31 May 2026
UBI Number: 604 741 880
ZIP code: 98467
City: University Place
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5120 84TH AVE W, UNIVERSITY PLACE, UNIVERSITY PL, WA, 98467-1826, UNITED STATES

Contact Details

E-Mail: DKINYUA74@GMAIL.COM
Phone Number: +1 951-333-9701

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DAVID KINYUA Registered Agent 5120 84TH AVE W, UNIVERSITY PL, WA, 98467-1826, UNITED STATES

Key Officers & Management

Name Role Address
DAVID KINYUA Executor 5946 GLENEAGLE AVE SW, PORT ORCHARD, WA, 98367-9167, UNITED STATES
JACQUELINE NGANGA Executor 5946 GLENEAGLE AVE SW, PORT ORCHARD, WA, 98367-9167, UNITED STATES
DAVID KINYUA Governing Person -

National Provider Identifier

NPI Number:
1801517842
Certification Date:
2022-09-08

Authorized Person:

Name:
DAVID KINYUA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

Fax:
2532401976
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