Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Resurrection Adult Family Home LLC

Organization Licensed Practical Nurse · NPI 1205707486

Resurrection Adult Family Home LLC provides Licensed Practical Nurse services 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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