Provider Demographics
NPI:1194545038
Name:ETHIOPIAN COMMUNITY IN SEATTLE
Entity type:Organization
Organization Name:ETHIOPIAN COMMUNITY IN SEATTLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:BELAY
Authorized Official - Last Name:BENALIFEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-350-2899
Mailing Address - Street 1:8323 RAINIER AVE S STE A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4532
Mailing Address - Country:US
Mailing Address - Phone:206-325-0304
Mailing Address - Fax:
Practice Address - Street 1:8323 RAINIER AVE S STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-4532
Practice Address - Country:US
Practice Address - Phone:206-325-0304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management