Organization
EXCELLENT ADULT FAMILY HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMNET TESFAYE (OWNER)
(206) 751-4476
Entity
Organization
Contact information
Practice address
19114 8TH AVE NW, SHORELINE, WA 98177-3000
(206) 629-5986
Mailing address
19114 8TH AVE NW, SHORELINE, WA 98177-3000
(206) 629-5986
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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