Provider Demographics
NPI:1710677364
Name:SAFI ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:SAFI ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENTITY REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:WAHU
Authorized Official - Last Name:MBURU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:574-707-5898
Mailing Address - Street 1:1009 RIDDELL AVE NE
Mailing Address - Street 2:
Mailing Address - City:ORTING
Mailing Address - State:WA
Mailing Address - Zip Code:98360-7438
Mailing Address - Country:US
Mailing Address - Phone:574-707-5898
Mailing Address - Fax:360-872-0134
Practice Address - Street 1:15416 205TH AVE E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-5568
Practice Address - Country:US
Practice Address - Phone:574-707-5898
Practice Address - Fax:360-897-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty