Provider Demographics
NPI:1811653769
Name:HEARTSAVED AFH LLC
Entity type:Organization
Organization Name:HEARTSAVED AFH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GIBRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MBOWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN175150
Authorized Official - Phone:206-422-4889
Mailing Address - Street 1:6513 82ND ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-3397
Mailing Address - Country:US
Mailing Address - Phone:120-642-2488
Mailing Address - Fax:360-572-0756
Practice Address - Street 1:6513 82ND ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-3397
Practice Address - Country:US
Practice Address - Phone:206-422-4889
Practice Address - Fax:360-572-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health