Healthcare Provider Details

I. General information

NPI: 1326979097
Provider Name (Legal Business Name): BLESSFUL CARE AFH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 94TH ST SE
EVERETT WA
98208-3723
US

IV. Provider business mailing address

817 94TH ST SE
EVERETT WA
98208-3723
US

V. Phone/Fax

Practice location:
  • Phone: 206-307-2458
  • Fax:
Mailing address:
  • Phone: 206-307-2458
  • Fax:

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: ADDIS KEBEDE BELACHEW
Title or Position: PROVIDER
Credential:
Phone: 206-307-2458