# AH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508854944
- **Authorized official:** MRS. PAMELA S. MATIKO RN (ADMINISTRATOR/MEMBER)
- **Authorized official phone:** (206) 364-7131

## Contact information

- **Practice address:** 17127 15TH AVE NE, SHORELINE, WA 98155-5127
- **Practice address phone:** (206) 364-7131
- **Practice address fax:** (206) 361-8262
- **Mailing address:** 17127 15TH AVE NE, SHORELINE, WA 98155-5127
- **Mailing address phone:** (206) 364-7131
- **Mailing address fax:** (206) 361-8262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH 1328 | WA | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 10/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 603094005 | GROUP HEALTH | WA |
