Organization
ANGEL HAVEN BY THE CREEK LLC
Active
Other names
Angel Haven 4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON HERRICK II RN (AFH PROVIDER)
(253) 279-7919
Entity
Organization
Contact information
Practice address
813 26TH ST SE, AUBURN, WA 98002-7706
(253) 279-7919
(253) 737-4437
Mailing address
20706 61ST ST E, BONNEY LAKE, WA 98391-6137
(253) 279-7919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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