Provider Demographics
NPI:1932947959
Name:ADON ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:ADON ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TILAHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-384-1784
Mailing Address - Street 1:2006 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4863
Mailing Address - Country:US
Mailing Address - Phone:206-384-1784
Mailing Address - Fax:
Practice Address - Street 1:2006 MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4863
Practice Address - Country:US
Practice Address - Phone:206-384-1784
Practice Address - Fax:425-582-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home