Organization
AGAPEGRACE ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEWEDITU T GIBREHIWOT RN (RN)
(408) 219-8159
Entity
Organization
Contact information
Practice address
15301 NE 77TH ST, VANCOUVER, WA 98682-3831
(408) 219-8159
Mailing address
15301 NE 77TH ST, VANCOUVER, WA 98682-3831
(408) 219-8159
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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