Individual provider · Type 1 NPI

Teshome Abate Haile, PROVIDER

Adult Care Home Facility · Everett, WA

NPI number 1205655222 Active

Practice location

2117 127th Pl SW
Everett, WA 98204-5580

Call (425) 355-5159 Map

Fax (360) 386-9890

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X751102 (WA)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1205655222

Teshome Abate Haile, PROVIDER's National Provider Identifier is 1205655222, issued on Oct 7, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Everett, WA. The record was last updated on Oct 8, 2024.