Organization
MANNA ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENENESH TSEGAY WORKNEH RN61324907 (REGISTERED NURSE)
(702) 292-8464
Entity
Organization
Contact information
Practice address
6220 EAST DR, EVERETT, WA 98203-4411
(702) 336-1576
Mailing address
6220 EAST DR, EVERETT, WA 98203-4411
(702) 336-1576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
09/20/2025
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