# 1ST MICHAEL ADULT FAMILY HOME, LLC

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

## Provider details

- **NPI number:** 1710815063
- **Authorized official:** TESFAYE B NORAHUN (OWNER)
- **Authorized official phone:** (206) 349-2285

## Contact information

- **Practice address:** 12710 20TH PL W, EVERETT, WA 98204-5583
- **Practice address phone:** (206) 349-2285
- **Practice address fax:** (425) 484-8001
- **Mailing address:** 12710 20TH PL W, EVERETT, WA 98204-5583

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2026
- **Last updated:** 05/16/2026