Provider Demographics
NPI:1023981446
Name:GEOWAM AFH
Entity type:Organization
Organization Name:GEOWAM AFH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:617-513-3370
Mailing Address - Street 1:10011 N LARCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9480
Mailing Address - Country:US
Mailing Address - Phone:617-513-3370
Mailing Address - Fax:
Practice Address - Street 1:10011 N LARCHWOOD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-9480
Practice Address - Country:US
Practice Address - Phone:617-513-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home