Healthcare Provider Details

I. General information

NPI: 1114890175
Provider Name (Legal Business Name): ROWENA GINEZ ABENES CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11038 SE 212TH ST
KENT WA
98031-2154
US

IV. Provider business mailing address

11038 SE 212TH ST
KENT WA
98031-2154
US

V. Phone/Fax

Practice location:
  • Phone: 206-307-1764
  • Fax: 253-236-4245
Mailing address:
  • Phone: 206-307-1764
  • Fax: 253-236-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number756736
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: