Organization
VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SENAIT GEBRU WOLEMIHAEL (LPN)
(206) 764-2087
Entity
Organization
Contact information
Practice address
17928 33RD PL W, LYNNWOOD, WA 98037-7734
(425) 678-8557
Mailing address
17928 33RD PL W, LYNNWOOD, WA 98037-7734
(425) 678-8557
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
LP00051995
WA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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