Provider Demographics
NPI:1093551616
Name:PARKWOOD AFH
Entity type:Organization
Organization Name:PARKWOOD AFH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AFH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-734-4540
Mailing Address - Street 1:2783 PINE TREE DR SE
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-2851
Mailing Address - Country:US
Mailing Address - Phone:360-443-2137
Mailing Address - Fax:206-701-0876
Practice Address - Street 1:2783 PINE TREE DR SE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-2851
Practice Address - Country:US
Practice Address - Phone:360-443-2137
Practice Address - Fax:206-701-0876
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARMONY GARDEN AFH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home