Provider Demographics
NPI:1902664956
Name:HARMONY HOUSE AFH, LLC
Entity Type:Organization
Organization Name:HARMONY HOUSE AFH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GAWLIK
Authorized Official - Suffix:
Authorized Official - Credentials:HCA
Authorized Official - Phone:360-818-4645
Mailing Address - Street 1:216 NE 151ST AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-8171
Mailing Address - Country:US
Mailing Address - Phone:360-818-4645
Mailing Address - Fax:360-216-7933
Practice Address - Street 1:216 NE 151ST AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-8171
Practice Address - Country:US
Practice Address - Phone:360-818-4645
Practice Address - Fax:360-216-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty