# ALPHA1 ADULT FAMILY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174385991
- **Authorized official:** ABSIRA ESHETU TADESSE RN (OWNER)
- **Authorized official phone:** (206) 228-3360

## Contact information

- **Practice address:** 24737 14TH AVE S, DES MOINES, WA 98198-7815
- **Practice address phone:** (206) 228-3360
- **Practice address fax:** (206) 400-7773
- **Mailing address:** 24737 14TH AVE S, DES MOINES, WA 98198-7815
- **Mailing address phone:** (206) 228-3360
- **Mailing address fax:** (206) 400-7773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 04/01/2026