Healthcare Provider Details

I. General information

NPI: 1902728561
Provider Name (Legal Business Name): PRECIOUS AFH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13416 MERIDIAN AVE S
EVERETT WA
98208-6873
US

IV. Provider business mailing address

13416 MERIDIAN AVE S
EVERETT WA
98208-6873
US

V. Phone/Fax

Practice location:
  • Phone: 425-773-2775
  • Fax: 425-582-8019
Mailing address:
  • Phone: 425-773-2775
  • Fax: 425-582-8019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS WUDITU KASSA
Title or Position: PROVIDER
Credential:
Phone: 425-773-2775