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ALPHA1 ADULT FAMILY HOME LLC

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Company Details

Legal Name: ALPHA1 ADULT FAMILY HOME LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 3rd 2022
Expiration date: 31 Aug 2025
UBI Number: 604 957 627
ZIP code: 98507
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo PO BOX 257, OLYMPIA, WA, 98507-0257, UNITED STATES

Contact Details

E-Mail: KINDALEMT@GMAIL.COM
Phone Number: +1 206-228-3360

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ABSIRA TADESSE Registered Agent 24737 14TH AVE S, DES MOINES, WA, 98198-7815, UNITED STATES

Key Officers & Management

Name Role Address
ABSIRA TADESSE Executor 24737 14TH AVE S, DES MOINES, WA, 98198-7815, UNITED STATES
ABSIRA TADESSE Governing Person 24737 14TH AVE S, DES MOINES, WA, 98198-7815, UNITED STATES
KINDALEM ASRES Governing Person -

National Provider Identifier

NPI Number:
1174385991
Certification Date:
2024-01-26

Authorized Person:

Name:
ABSIRA ESHETU TADESSE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
2064007773
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