Lolly Angel House Afh Llc

LBN: Lolly Angel House Afh Llc
Lolly Angel House Afh Llc is an health care organization with primary practice located at 5704 Douglas Dr , Yakima WA 98908-2732. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Lolly Angel House Afh Llc can be contacted via phone (509) 901-4666, or through Martinez, Amber D via phone (509) 901-4666.

Contact Information

Primary practice address
5704 Douglas Dr Yakima WA 98908-2732
Phone: (509) 901-4666
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Amber D Registered Nurse (RN)
Phone: (509) 901-4666

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1578184206
LBN Legal business name Lolly Angel House Afh Llc
DBA Doing business as
Authorized official Martinez, Amber D Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2020
Last updated May 5th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578184206 NPPES
Washington MEDICAID 2154431

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