Arbor Drive Legacy Living Adult Family Home LLC
Organization Active NPI Adult Care Home Facility · Lacey, WA
NPI 1609718253 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1609718253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- ARBOR DRIVE LEGACY LIVING ADULT FAMILY HOME LLC
- Practice address
- 3608 Arbor Dr SE
Lacey, WA 98503-4802 - Phone
- (774) 232-6055
- Fax
- (360) 252-7715
- NPI assigned
- Apr 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Paciphique Munyaburanga, MUNYABURANGA
- Title
- Owner
- Phone
- (774) 232-6055
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
3608 Arbor Dr SE
Lacey, WA 98503-4802
Mailing address
3608 Arbor Dr SE
Lacey, WA 98503-4802
Phone (774) 232-6055
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- Elizabeth A Archer
- Max Kenneth Archer
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All providers in Lacey, WA · Adult Care Home Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.