Organization
EDMONDS GARDEN AFH LLC
Active
Other names
Edmonds Garden AFH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEREJE G LULU OWNER (PROVIDER)
(206) 549-9648
Entity
Organization
Contact information
Practice address
8621 244TH ST SW, EDMONDS, WA 98026-9062
(206) 629-4173
(206) 801-7156
Mailing address
8621 244TH ST SW, EDMONDS, WA 98026-9062
(206) 629-4173
(206) 801-7156
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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