Provider Demographics
NPI:1063294619
Name:ABARRI ADULT FAMILY HOME LLC.
Entity type:Organization
Organization Name:ABARRI ADULT FAMILY HOME LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:FATOU
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-554-9145
Mailing Address - Street 1:10317 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-3721
Mailing Address - Country:US
Mailing Address - Phone:206-554-9145
Mailing Address - Fax:
Practice Address - Street 1:10317 HOLLY DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-3721
Practice Address - Country:US
Practice Address - Phone:206-554-9145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty