# CWRCS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COVENANT HOUSE AFH, IZZY'S AFH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063998698
- **Authorized official:** MRS. ANDREA OLIVAS (MANGER)
- **Authorized official phone:** (509) 823-6558

## Contact information

- **Practice address:** 226 S 16TH AVE, YAKIMA, WA 98902-3827
- **Practice address phone:** (509) 728-1486
- **Mailing address:** 226 S 16TH AVE, YAKIMA, WA 98902-3827
- **Mailing address phone:** (509) 728-1486
- **Mailing address fax:** (509) 248-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | WA | Yes |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 07/17/2018