Organization
ELLEN HOUSE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA LEA HESTER (OWNER)
(509) 961-6960
Entity
Organization
Contact information
Practice address
616 S 30TH AVE, YAKIMA, WA 98902-4003
(509) 895-7149
(509) 895-7148
Mailing address
616 S 30TH AVE, YAKIMA, WA 98902-4003
(509) 895-7149
(509) 895-7148
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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