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Organization
NEW ERA ADULT FAMILY HOME LLC
Active
Organization
NEW ERA ADULT FAMILY HOME LLC
Active
Other names
Genet Tadesse, New Era Adult Family Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GENET TADESSE (PROVIDER)
(206) 228-7599
Entity
Organization
Contact information
Practice address
428 218TH ST SW, BOTHELL, WA 98021-8155
(206) 228-7599
Mailing address
428 218TH ST SW, BOTHELL, WA 98021-8155
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251T00000X
PACE Provider Organization
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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