Healthcare Provider Details

I. General information

NPI: 1063294619
Provider Name (Legal Business Name): ABARRI ADULT FAMILY HOME LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9312 4TH AVE SE
EVERETT WA
98208-1935
US

IV. Provider business mailing address

10317 HOLLY DR
EVERETT WA
98204-3721
US

V. Phone/Fax

Practice location:
  • Phone: 206-554-9145
  • Fax:
Mailing address:
  • Phone: 206-554-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FATOU K JOBE
Title or Position: PROVIDER
Credential: RN
Phone: 206-554-9145