Provider Demographics
NPI:1063242956
Name:REYJINES HAVEN AFH LLC
Entity type:Organization
Organization Name:REYJINES HAVEN AFH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AFH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:T
Authorized Official - Last Name:GALAN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSING ASSISTANT
Authorized Official - Phone:425-228-6144
Mailing Address - Street 1:16608 126TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-5554
Mailing Address - Country:US
Mailing Address - Phone:425-228-6144
Mailing Address - Fax:425-572-0768
Practice Address - Street 1:16608 126TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-5554
Practice Address - Country:US
Practice Address - Phone:425-228-6144
Practice Address - Fax:425-572-0768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health