| NPI | 1841000346 |
|---|---|
| Doing Business As | ANGEL HAVEN 4 |
| Entity Type | Organization |
| Authorized Contact | GORDON HERRICK Afh Provider 253-279-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |