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NPI 1386584563

NPI 1386584563 : ASMEKEB ADULT FAMILY HOME LLC : KENT, WA

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General NPI Number Information
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    NPI Number           |    1386584563
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASMEKEB ADULT FAMILY HOME LLC 
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Dates
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    Enumeration Date     |    03/30/2026
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    Last Update Date     |    03/30/2026
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Provider Practice Location Address
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    Address Line         |    24925 132ND PL SE 
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    City                 |    KENT
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    State                |    WA
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    Zip                  |    98042-6662
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    Country              |    US
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    Telephone            |    206-422-6855
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    Fax                  |    253-277-2873
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Provider Business Mailing Address
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    Address Line         |    24925 132ND PL SE 
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    City                 |    KENT
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    State                |    WA
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    Zip                  |    98042-6662
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    Country              |    US
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    Telephone            |    206-422-6855
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    Fax                  |    253-277-2873
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Authorized Official
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    Title or Position    |    AFH PROVIDER
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    Name                 |     ASMERET TESFASLASSIE GHEBRU 
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    Credential           |    
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    Telephone            |    206-422-6855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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