Provider Demographics
NPI:1831063007
Name:GARLAN, ROSEMARIE B (CNA)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:B
Last Name:GARLAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16529 115TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5206
Mailing Address - Country:US
Mailing Address - Phone:425-226-6501
Mailing Address - Fax:425-291-7025
Practice Address - Street 1:16529 115TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5206
Practice Address - Country:US
Practice Address - Phone:425-226-6501
Practice Address - Fax:425-291-7025
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA752945311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home