Organization Name: | BLOSSOM VALLEY WENATCHEE |
NPI Number: | 1063556504 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON HARDER (CEO PRESIDENT) |
Mailing Address: | 1701 Orchard Ave Wenatchee |
State: | WA US |
Postal Code: | 988014702 |
Phone Number: | 5096670990 |
Fax Number: | 5034851495 |
NPI Enumeration Date: | 02/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | BH 1783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |