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1 JOYFUL ADULT FAMILY HOME, LLC

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Company Details

Legal Name: 1 JOYFUL ADULT FAMILY HOME, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 12th 2019
Expiration date: 31 Dec 2025
UBI Number: 604 552 097
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 22406 40TH PL W, MOUNTLAKE TER, WA, 98043-4512, UNITED STATES
Principal Office Mailing Address: Google Maps Logo APT B413, 17538 12TH AVE NE, SEATTLE, WA, 98155, UNITED STATES

Contact Details

E-Mail: BETHELAFH@GMAIL.COM
Phone Number: +1 206-313-4816

Nature of Business

Health Care, Social Assistance & Service Organization, ADULT FAMILY HOME

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Registered Agent Information

Name Role Address
RUTH BISHU Registered Agent 22406 40TH PL W, MOUNTLAKE TER, WA, 98043-4512, UNITED STATES

Key Officers & Management

Name Role Address
RUTH BISHU Governing Person -
TEWOLDEBIRHAN H DESTA Governing Person -
RUTH BISHU EXECUTOR 22406 40TH PL W, MOUNTLAKE TER, WA, 98043-4512, UNITED STATES

National Provider Identifier

NPI Number:
1447944475
Certification Date:
2023-06-03

Authorized Person:

Name:
RUTH BISHU
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

Fax:
4259498234
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