| 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 |