# ANGEL VINE AFH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel Vine AFH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427649433
- **Authorized official:** JOSHUA RUSSELL WACHTER RN (OWNER/PARTNER)
- **Authorized official phone:** (360) 880-1751

## Contact information

- **Practice address:** 275 W VINE ST, NAPAVINE, WA 98532-7641
- **Practice address phone:** (360) 262-3406
- **Practice address fax:** (360) 242-0125
- **Mailing address:** 199 SCHOOLHOUSE RD, WINLOCK, WA 98596-9718
- **Mailing address phone:** (360) 880-1751
- **Mailing address fax:** (360) 242-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021