Provider: Gerald P. Macandog

Address:
17321 136th Ave. Ct E
Puyallup, WA 98374
Pierce County

Telephone:
(360) 872-0754

Licensed Bed Count: 6

Specialty Certifications: Mental Health, Dementia, Developmental Disabilities
Contracts: Expanded Community Services, Adult Family Home

Disclosure of Services: https://fortress.wa.gov/dshs/adsaapps/lookup/AFHServices.aspx?Lic=752080
Has Reports? Yes
Reports Link: https://fortress.wa.gov/dshs/adsaapps/lookup/AFHForms.aspx?Lic=752080