# ELDER VILLAGE RENTON HIGHLANDS AFH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elder Village Renton Highlands AFH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851155907
- **Authorized official:** BERNICE REBUTIACO ARNP (ADMINISTRATOR)
- **Authorized official phone:** (206) 653-6477

## Contact information

- **Practice address:** 603 NILE AVE NE, RENTON, WA 98059-4980
- **Practice address phone:** (206) 886-1611
- **Mailing address:** 603 NILE AVE NE, RENTON, WA 98059-4980
- **Mailing address phone:** (206) 653-6477

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 11/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1477166031 | — | WA |