# ALPHAEDMONDS ADULT FAMILY HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADULT FAMILY HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447008719
- **Authorized official:** TEGBAR ADDISU ASNAKE R.N (OWNER)
- **Authorized official phone:** (425) 246-0207

## Contact information

- **Practice address:** 15917 55TH PL W, EDMONDS, WA 98026-4747
- **Practice address phone:** (425) 246-0207
- **Mailing address:** 15917 55TH PL W, EDMONDS, WA 98026-4747
- **Mailing address phone:** (425) 246-0207

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2024
- **Last updated:** 05/10/2024