Resurrection Adult Family Home LLC
NPI #1013629237 in Vancouver, Washington
Provider Information
- NPI Number
- 1013629237
- Entity Type
- Organization
- Organization Name
- Resurrection Adult Family Home LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 19, 2022
- Last Updated
- Sep 17, 2025
Practice Location
- Address
- 10800 NE 109TH AVE
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98662-3371
- Phone
- (360) 258-0698
Authorized Official
- Name
- ABEBE GOBEZE
- Title
- DIRECTOR
- Phone
- (571) 665-9250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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