# CARNELIAN AFH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508797929
- **Authorized official:** JUSTUS MAINA BSN (FOUNDER)
- **Authorized official phone:** (206) 460-2763

## Contact information

- **Practice address:** 1305 BOONE ST SE, LACEY, WA 98503-2260
- **Practice address phone:** (360) 764-7556
- **Mailing address:** 1305 BOONE ST SE, LACEY, WA 98503-2260
- **Mailing address phone:** (360) 764-7556

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2026
- **Last updated:** 05/26/2026