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Organization

RESURRECTION ADULT FAMILY HOME LLC

Active
Parent organization
RESURRECTION ADULT FAMILY HOME LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RESURRECTION ADULT FAMILY HOME LLC
Authorized official
MR. ABEBE M GOBEZE (PROVIDER)
(571) 665-9250
Entity
Organization

Contact information

Practice address
14824 NE 81ST ST, VANCOUVER, WA 98682-3406
(571) 665-9250
(360) 768-5289
Mailing address
14824 NE 81ST ST, VANCOUVER, WA 98682-3406
(571) 665-9250
(360) 768-5289

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary

Other

Enumeration date
09/12/2025
Last updated
09/12/2025
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