Provider Demographics
NPI:1518131036
Name:HEAVENLY ACRES AFH INC.
Entity Type:Organization
Organization Name:HEAVENLY ACRES AFH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANGELIQUE
Authorized Official - Last Name:SAYWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-846-5425
Mailing Address - Street 1:27115 76TH AVE E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-7370
Mailing Address - Country:US
Mailing Address - Phone:253-846-5425
Mailing Address - Fax:253-559-9990
Practice Address - Street 1:27115 76TH AVE E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-7370
Practice Address - Country:US
Practice Address - Phone:253-846-5425
Practice Address - Fax:253-559-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA366700311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home