Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Resurrection Adult Family Home LLC

Organization Licensed Practical Nurse · NPI 1205707486

Resurrection Adult Family Home LLC is a Licensed Practical Nurse in Vancouver, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14824 NE 81st St
Vancouver, WA 98682-3406
Phone: (571) 665-9250
Fax: (360) 768-5289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X

Record details

NPI number1205707486
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationResurrection Adult Family Home LLC
Authorized official Abebe Gobeze — Provider · (571) 665-9250
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address14824 Ne 81st St, Vancouver, WA 98682-3406

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