Organization · Type 2 NPI
Angel Vine Afh LLC
Adult Care Home Facility · Napavine, WA
NPI number
1427649433
Active
Practice location
275 W Vine St
Napavine, WA 98532-7641
Fax (360) 242-0125
Mailing address
199 Schoolhouse Rd
Winlock, WA 98596-9718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1427649433
Angel Vine Afh LLC's National Provider Identifier is 1427649433, issued on Feb 2, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Napavine, WA. The record was last updated on Feb 2, 2021.