Individual provider · Type 1 NPI

Yenealem Tesfaye Tassew

Adult Care Home Facility · Des Moines, WA

NPI number 1497626436 Active

Practice location

20834 4th Pl S
Des Moines, WA 98198-3613

Fax (206) 480-0721

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X757808 (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.

About NPI 1497626436

Yenealem Tesfaye Tassew's National Provider Identifier is 1497626436, issued on Sep 15, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Des Moines, WA. The record was last updated on Sep 15, 2025.