Provider Demographics
NPI:1598638512
Name:RUS ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:RUS ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HALIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUBAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-413-1754
Mailing Address - Street 1:4048 TRIBUTE AVE E
Mailing Address - Street 2:
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-3795
Mailing Address - Country:US
Mailing Address - Phone:206-413-1754
Mailing Address - Fax:206-413-1754
Practice Address - Street 1:4048 TRIBUTE AVE E
Practice Address - Street 2:
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-3795
Practice Address - Country:US
Practice Address - Phone:206-413-1754
Practice Address - Fax:206-413-1754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities