NPI | 1295203495 |
---|---|
Doing Business As | GENET TADESSE |
Doing Business As | NEW ERA ADULT FAMILY HOME LLC |
Entity Type | Organization |
Authorized Contact | GENET TADESSE Provider 206-228-7599 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 174200000X Meals |
177F00000X Lodging | |
251J00000X Nursing Care | |
251T00000X PACE Provider Organization | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2018-11-06 |
Last Update Date | 2018-11-06 |