Organization
MOUNTLAKE TERRACE AFH 1 LLC
Active
Other names
Mountlake Terrace AFH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TSEHAY GHEBRESILASSIE (PROVIDER)
(206) 330-3293
Entity
Organization
Contact information
Practice address
23108 54TH AVE W, MOUNTLAKE TERRACE, WA 98043-4708
(425) 670-2867
Mailing address
8907 192ND ST SW, EDMONDS, WA 98026-6129
(206) 330-3293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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