Provider Demographics
NPI:1295292910
Name:GREEN HILL VIEW AFH LLC
Entity type:Organization
Organization Name:GREEN HILL VIEW AFH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBAYE
Authorized Official - Middle Name:WONDIE
Authorized Official - Last Name:GEBRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-229-7706
Mailing Address - Street 1:7229 69TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7743
Mailing Address - Country:US
Mailing Address - Phone:206-229-7706
Mailing Address - Fax:
Practice Address - Street 1:7229 69TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-7743
Practice Address - Country:US
Practice Address - Phone:206-229-7706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home