Provider Demographics
NPI:1306638507
Name:WOLDESEMAIT, AKLELE ASSEFA (CNA)
Entity type:Individual
Prefix:
First Name:AKLELE
Middle Name:ASSEFA
Last Name:WOLDESEMAIT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 50TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-3330
Mailing Address - Country:US
Mailing Address - Phone:206-261-7818
Mailing Address - Fax:
Practice Address - Street 1:1414 50TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-3330
Practice Address - Country:US
Practice Address - Phone:206-261-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA752348311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home