Organization
4 ELEMENTS AFH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN WALLACE NURSE AID (PROVIDER/OWNER)
(206) 778-9199
Entity
Organization
Contact information
Practice address
9111 9TH AVE SE, EVERETT, WA 98208-3316
(206) 778-9199
Mailing address
218 MAIN ST # 308, KIRKLAND, WA 98033-6108
(206) 779-9199
(425) 265-9549
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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