Organization
BLOSSOM VALLEY WENATCHEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON HARDER (CEO PRESIDENT)
(503) 485-4600
Entity
Organization
Contact information
Practice address
1701 ORCHARD AVE, WENATCHEE, WA 98801-4702
(509) 667-0990
(503) 485-1495
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 485-4600
(503) 485-1495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH 1783
WA
Other
Enumeration date
02/17/2007
Last updated
08/22/2020
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