# AB LEGACY CARE AFH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518898667
- **Authorized official:** BELAYNESH BIRESAW RN,BSN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (206) 489-7520

## Contact information

- **Practice address:** 13516 186TH STREET CT E, PUYALLUP, WA 98374-6015
- **Practice address phone:** (206) 489-7520
- **Practice address fax:** (360) 872-0618
- **Mailing address:** 13516 186TH STREET CT E, PUYALLUP, WA 98374-6015
- **Mailing address phone:** (206) 489-7520
- **Mailing address fax:** (360) 872-0618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | Yes |
| 163W00000X | Registered Nurse | — | — | Yes |
| 311ZA0620X | Adult Care Home Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 07/08/2026