AB LEGACY CARE AFH LLC NPI 1518898667

NPI Information

  • NPI: 1518898667
  • Provider Name: AB LEGACY CARE AFH LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 13516 186TH STREET CT E
    PUYALLUP, WA
    ZIP 98374
  • Phone: (206) 489-7520

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NPI Details

AB LEGACY CARE AFH LLC is an adult care home custodial care facility in Puyallup, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. AB LEGACY CARE AFH LLC NPI is 1518898667. The provider is registered as an organization entity type.

The provider's business location address is:

13516 186TH STREET CT E
PUYALLUP, WA
ZIP 98374-015
Phone: (206) 489-7520
Fax: (360) 872-0618

The provider's authorized official is Belaynesh Biresaw .
The authorized official title is Owner/administrator and has the following contact phone number (206) 489-7520.

The enumeration date for this NPI number is 5/27/2026 and was last updated on 5/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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