Organization
HEARTSTONE COTTAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA V WILEY (CONTROLLER)
(509) 662-1636
Entity
Organization
Contact information
Practice address
802 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3874
(509) 662-1636
(509) 662-8690
Mailing address
625 OKANOGAN AVE, WENATCHEE, WA 98801-6409
(509) 662-1636
(509) 662-8690
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH 1429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555390
—
WA
Enumeration date
09/14/2005
Last updated
08/22/2020
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