Organization
GASSELING HOUSE ADF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN JOE GASSELING AFH (OWNER)
(509) 248-8584
Entity
Organization
Contact information
Practice address
905 BEAUDRY RD, YAKIMA, WA 98901-8104
(509) 248-8584
(509) 577-8525
Mailing address
905 BEAUDRY RD, YAKIMA, WA 98901-8104
(509) 248-8584
(509) 577-8525
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
252400
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252400
STATE LICENSES
WA
Enumeration date
06/19/2018
Last updated
06/19/2018
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