TESHOME HAILE, PROVIDER
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1205655222
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | 751102 (WA) |
Frequently Asked Questions
NPI 1205655222 is the National Provider Identifier for TESHOME HAILE, PROVIDER, a Custodial Care Facility - Adult Care Home provider located in Everett, WA. This NPI was enumerated on October 7, 2024.
TESHOME HAILE, PROVIDER practices at 2117 127TH PL SW, Everett, WA 98204.
Quick Facts
- NPI
- 1205655222
- Type
- Individual
- Enumerated
- Oct 7, 2024
- Last Updated
- Oct 8, 2024
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