Organization
A & K ADULT FAMILY HOME LLC
Active
Other names
PRIVATE DUTY NURSE
Organization subpart
No
Provider details
NPI number
Authorized official
KINDALEM TESFA ASRES REGISTERED NURSE (RN)
(206) 228-3360
Entity
Organization
Contact information
Practice address
29850 18TH AVE S, FEDERAL WAY, WA 98003-4202
(206) 228-3360
Mailing address
29850 18TH AVE S, FEDERAL WAY, WA 98003-4202
(206) 228-3360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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