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Organization
AB LEGACY CARE AFH LLC
Active
Organization
AB LEGACY CARE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELAYNESH BIRESAW RN,BSN (OWNER/ADMINISTRATOR)
(206) 489-7520
Entity
Organization
Contact information
Practice address
13516 186TH STREET CT E, PUYALLUP, WA 98374-6015
(206) 489-7520
(360) 872-0618
Mailing address
13516 186TH STREET CT E, PUYALLUP, WA 98374-6015
(206) 489-7520
(360) 872-0618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
NULL
163W00000X
Registered Nurse
Primary
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
07/08/2026
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