Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vintage Adult Family Home LLC

Organization Registered Nurse · NPI 1275353005

Vintage Adult Family Home LLC provides Registered Nurse services in Lakewood, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9111 Forest Ave SW
Lakewood, WA 98498-3523
Phone: (253) 317-3676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1275353005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Wamwaki — Co-Owner · (253) 317-3676
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address9111 Forest Ave Sw, Lakewood, WA 98498-3523

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