# GARDEN VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093763393
- **Authorized official:** CHERYL KUBU NHA (ADMINISTRATOR)
- **Authorized official phone:** (509) 999-3345

## Contact information

- **Practice address:** 206 S 10TH AVE, YAKIMA, WA 98902
- **Practice address phone:** (509) 453-4854
- **Practice address fax:** (509) 453-2196
- **Mailing address:** 206 S 10TH AVE, YAKIMA, WA 98902
- **Mailing address phone:** (509) 453-4854
- **Mailing address fax:** (509) 453-2196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1242 | WA | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 11/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113163 | — | WA |