# AGAPEGRACE ADULT FAMILY HOME

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

## Provider details

- **NPI number:** 1851274526
- **Authorized official:** ZEWEDITU T GIBREHIWOT RN (RN)
- **Authorized official phone:** (408) 219-8159

## Contact information

- **Practice address:** 15301 NE 77TH ST, VANCOUVER, WA 98682-3831
- **Practice address phone:** (408) 219-8159
- **Mailing address:** 15301 NE 77TH ST, VANCOUVER, WA 98682-3831
- **Mailing address phone:** (408) 219-8159

## 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:** 07/29/2025
- **Last updated:** 06/04/2026