Organization
ELMVIEW
Active
Organization
ELMVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TABB (EXECUTIVE DIRECTOR)
(509) 899-0148
Entity
Organization
Contact information
Practice address
204 E 6TH AVE, ELLENSBURG, WA 98926-3136
(509) 899-0148
(509) 962-5883
Mailing address
PO BOX 66, ELLENSBURG, WA 98926-1909
(509) 899-0148
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WA
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
WA
253Z00000X
In Home Supportive Care Agency
—
WA
332U00000X
Home Delivered Meals
—
WA
Other
Enumeration date
12/20/2017
Last updated
06/16/2018
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