TESHOME HAILE, PROVIDER

PROVIDER

Adult Care Home Facility

NPI: 1205655222Individual

Specialties, Licenses & Credentials

Adult Care Home FacilityPrimary

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

751102(WA)

Contact & Hours

Address: 2117 127TH PL SW
EVERETT, WA 98204
Phone: (425) 355-5159

Quick Facts

NPI: 1205655222
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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