Organization
ELDER VILLAGE RENTON HIGHLANDS AFH, LLC
Active
Other names
Elder Village Renton Highlands AFH
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE REBUTIACO ARNP (ADMINISTRATOR)
(206) 653-6477
Entity
Organization
Contact information
Practice address
603 NILE AVE NE, RENTON, WA 98059-4980
(206) 886-1611
Mailing address
603 NILE AVE NE, RENTON, WA 98059-4980
(206) 653-6477
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477166031
—
WA
Enumeration date
02/09/2024
Last updated
11/21/2025
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