NPI 1043157324

Pacific Breeze Afh LLC

Organisation Adult Care Home Facility Vancouver, WA

Practice location

Address: 16017 NE 79th Way, Vancouver, WA 98682-1541
Phone: (360) 605-8930
Fax: (360) 251-0313

Authorised official

Name: Habte Simon
Title: Resident Manager
Phone: (360) 605-8930

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1043157324
Entity type: Organization
NPI issued: 4 May 2026
Record last updated: 4 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.