Provider Demographics
NPI:1831925932
Name:ABDULAHI, ZAMZAM ADEN
Entity type:Individual
Prefix:
First Name:ZAMZAM
Middle Name:ADEN
Last Name:ABDULAHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33233 36TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-2903
Mailing Address - Country:US
Mailing Address - Phone:206-536-9803
Mailing Address - Fax:253-409-2428
Practice Address - Street 1:33233 36TH AVE SW
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2903
Practice Address - Country:US
Practice Address - Phone:206-536-9803
Practice Address - Fax:253-409-2428
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA756550311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home