Organization
RESURRECTION ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABEBE GOBEZE (DIRECTOR)
(571) 665-9250
Entity
Organization
Contact information
Practice address
10800 NE 109TH AVE, VANCOUVER, WA 98662-3371
(360) 258-0698
Mailing address
10800 NE 109TH AVE, VANCOUVER, WA 98662-3371
(360) 258-0698
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
09/17/2025
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