Healthcare Provider Details

I. General information

NPI: 1821917147
Provider Name (Legal Business Name): 1ST CHOICE ADULT CARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 116TH ST SE
EVERETT WA
98208-5552
US

IV. Provider business mailing address

618 116TH ST SE
EVERETT WA
98208-5552
US

V. Phone/Fax

Practice location:
  • Phone: 425-737-5405
  • Fax: 425-663-4050
Mailing address:
  • Phone: 425-737-5405
  • Fax: 425-663-4050

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: FATOUMATA TRAWALLY
Title or Position: PROVIDER/OWNER
Credential:
Phone: 425-737-5405