Organization
CWRCS INC
Active
Other names
COVENANT HOUSE AFH, IZZY'S AFH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA OLIVAS (MANGER)
(509) 823-6558
Entity
Organization
Contact information
Practice address
226 S 16TH AVE, YAKIMA, WA 98902-3827
(509) 728-1486
Mailing address
226 S 16TH AVE, YAKIMA, WA 98902-3827
(509) 728-1486
(509) 248-1332
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
WA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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