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Organization
BUENA VISTA SNF OPERATIONS, LLC
Active
Organization
BUENA VISTA SNF OPERATIONS, LLC
Active
Other names
Buena Vista Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHOK YENOWITZ (AUTHORIZED REPRESENTATIVE)
(323) 333-0910
Entity
Organization
Contact information
Practice address
151 BUENA VISTA DR, COLVILLE, WA 99114-8676
(509) 684-4539
Mailing address
1777 AVENUE OF THE STATES STE 102, LAKEWOOD, NJ 08701-4779
(732) 366-8300
(732) 523-5312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
NULL
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
01/11/2023
Last updated
09/05/2024
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