Healthcare Provider Details

I. General information

NPI: 1487558375
Provider Name (Legal Business Name): ANGELS HEART AFH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32224 27TH AVE SW
FEDERAL WAY WA
98023-2278
US

IV. Provider business mailing address

32224 27TH AVE SW
FEDERAL WAY WA
98023-2278
US

V. Phone/Fax

Practice location:
  • Phone: 206-483-4657
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALICE JANE
Title or Position: PROVIDER
Credential:
Phone: 206-483-4657