Individual provider · Type 1 NPI

Yetnayet Kebede Gebredingle

Adult Care Home Facility · Vancouver, WA

NPI number 1487591905 Active

Practice location

501 SE 171st Ave
Vancouver, WA 98684-8414

Call (304) 685-7759 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X758887 (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 1487591905

Yetnayet Kebede Gebredingle's National Provider Identifier is 1487591905, issued on May 1, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Vancouver, WA. The record was last updated on May 1, 2026.