Provider Demographics
NPI:1578273991
Name:HALLELUJAH AFH
Entity Type:Organization
Organization Name:HALLELUJAH AFH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TIGIST
Authorized Official - Middle Name:
Authorized Official - Last Name:TESHOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-307-2831
Mailing Address - Street 1:23332 106TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3353
Mailing Address - Country:US
Mailing Address - Phone:206-307-2831
Mailing Address - Fax:
Practice Address - Street 1:23332 106TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-3353
Practice Address - Country:US
Practice Address - Phone:206-307-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home