NPI 1013629237
Resurrection Adult Family Home LLC
Practice location
- Address
- 10800 NE 109th Ave, Vancouver, WA 98662-3371
- Phone
- (360) 258-0698
Authorised official
- Name
- Abebe Gobeze
- Title
- Director
- Phone
- (571) 665-9250
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1013629237
- Entity type
- Organization
- NPI issued
- 19 Dec 2022
- Record last updated
- 17 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.