Healthcare Provider Details

I. General information

NPI: 1295661015
Provider Name (Legal Business Name): ARC ANGEL MICHAEL AFH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 SW 8TH ST
BATTLE GROUND WA
98604-3098
US

IV. Provider business mailing address

307 SW 8TH ST
BATTLE GROUND WA
98604-3098
US

V. Phone/Fax

Practice location:
  • Phone: 425-529-3315
  • Fax:
Mailing address:
  • Phone: 425-529-3315
  • Fax: 360-723-0365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: BROOK TAYE
Title or Position: PROVIDER
Credential:
Phone: 425-529-3315