Provider Demographics
NPI:1750144390
Name:GALILEE AFH
Entity type:Organization
Organization Name:GALILEE AFH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIYE
Authorized Official - Middle Name:ASMEROM
Authorized Official - Last Name:HAILE
Authorized Official - Suffix:
Authorized Official - Credentials:CAREGIVER
Authorized Official - Phone:206-883-3743
Mailing Address - Street 1:22906 41ST PL W
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-5022
Mailing Address - Country:US
Mailing Address - Phone:206-883-3743
Mailing Address - Fax:425-412-6484
Practice Address - Street 1:22906 41ST PL W
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-5022
Practice Address - Country:US
Practice Address - Phone:206-883-3743
Practice Address - Fax:425-412-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty