Provider Demographics
NPI:1588414155
Name:BRIGHT ROSE AFH LLC
Entity type:Organization
Organization Name:BRIGHT ROSE AFH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/BSN
Authorized Official - Prefix:
Authorized Official - First Name:ABIY
Authorized Official - Middle Name:B
Authorized Official - Last Name:ASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-209-7400
Mailing Address - Street 1:26308 185TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-8425
Mailing Address - Country:US
Mailing Address - Phone:206-209-7400
Mailing Address - Fax:
Practice Address - Street 1:26308 185TH AVE SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-8425
Practice Address - Country:US
Practice Address - Phone:206-209-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty