Organization
ALPHA1 ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABSIRA ESHETU TADESSE RN (OWNER)
(206) 228-3360
Entity
Organization
Contact information
Practice address
24737 14TH AVE S, DES MOINES, WA 98198-7815
(206) 228-3360
(206) 400-7773
Mailing address
24737 14TH AVE S, DES MOINES, WA 98198-7815
(206) 228-3360
(206) 400-7773
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
04/01/2026
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