Provider Demographics
NPI:1376346593
Name:ELEVATION AFH INC
Entity type:Organization
Organization Name:ELEVATION AFH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-226-0964
Mailing Address - Street 1:13315 15TH AVE S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-7114
Mailing Address - Country:US
Mailing Address - Phone:253-301-1334
Mailing Address - Fax:253-238-0260
Practice Address - Street 1:32012 41ST AVE SW
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2402
Practice Address - Country:US
Practice Address - Phone:253-517-9064
Practice Address - Fax:253-238-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home