# DSHS/DDA/YAKIMA VALLEY SCHOOL

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

## Provider details

- **NPI number:** 1639129695
- **Authorized official:** MRS. TAMMY K. WINEGAR NURSING HOME ADMINIS (SUPERINTENDENT)
- **Authorized official phone:** (509) 698-1255

## Contact information

- **Practice address:** 609 SPEYERS ROAD, SELAH, WA 98942-1050
- **Practice address phone:** (509) 698-1300
- **Practice address fax:** (509) 698-2230
- **Mailing address:** 609 SPEYERS ROAD, SELAH, WA 98942-1050
- **Mailing address phone:** (509) 698-1300
- **Mailing address fax:** (509) 697-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |
| 314000000X | Skilled Nursing Facility | 342007865 | WA | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 11/01/2016