Healthcare Provider Details

I. General information

NPI: 1316809767
Provider Name (Legal Business Name): US INNS COTTAGE AFH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11709 37TH DR SE
EVERETT WA
98208-5302
US

IV. Provider business mailing address

11709 37TH DR SE
EVERETT WA
98208-5302
US

V. Phone/Fax

Practice location:
  • Phone: 425-338-2099
  • Fax: 425-338-2099
Mailing address:
  • Phone: 425-338-2099
  • Fax: 425-338-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: BEZA TESFAY
Title or Position: OWNER
Credential:
Phone: 425-382-0560