Organization
RAHA ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NASRA ABDULLAHI MOHAMUD RN, MSN (PROVIDER/OWNER)
(253) 205-5780
Entity
Organization
Contact information
Practice address
2835 S 148TH ST, SEATAC, WA 98168-4245
(253) 205-5780
(253) 322-2317
Mailing address
2835 S 148TH ST, SEATAC, WA 98168-4245
(253) 205-5780
(253) 322-2317
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
755672
DSHS
WA
Enumeration date
06/30/2022
Last updated
06/30/2022
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