# HILL'S ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1689497653
- **Authorized official:** HENOK KEBEDE MEKONNEN PROVIDER (OWNER)
- **Authorized official phone:** (509) 270-3214

## Contact information

- **Practice address:** 4117 S LEE ST, SPOKANE, WA 99203-4220
- **Practice address phone:** (206) 471-3217
- **Practice address fax:** (509) 270-3214
- **Mailing address:** 4117 S LEE ST, SPOKANE, WA 99203-4220
- **Mailing address phone:** (206) 471-3217
- **Mailing address fax:** (509) 270-3214

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2024
- **Last updated:** 11/06/2024