NPI | 1427649433 |
---|---|
Doing Business As | ANGEL VINE AFH |
Entity Type | Organization |
Authorized Contact | JOSHUA RUSSELL WACHTER Owner/Partner 360-880-1751 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2021-02-02 |
Last Update Date | 2021-02-02 |