Organization
GARDEN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KUBU NHA (ADMINISTRATOR)
(509) 999-3345
Entity
Organization
Contact information
Practice address
206 S 10TH AVE, YAKIMA, WA 98902
(509) 453-4854
(509) 453-2196
Mailing address
206 S 10TH AVE, YAKIMA, WA 98902
(509) 453-4854
(509) 453-2196
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113163
—
WA
Enumeration date
05/05/2006
Last updated
11/26/2024
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