Organization
GRACIOUS HEART AFH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NGEWA (PROVIDER)
(469) 672-7183
Entity
Organization
Contact information
Practice address
650 S 198TH ST, DES MOINES, WA 98148-2442
(469) 672-7183
Mailing address
650 S 198TH ST, DES MOINES, WA 98148-2442
(469) 672-7183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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