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Organization

MAGNOLIA HEART ADULT FAMILY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANNA GAYLE PULLIAM (OWNER)
(509) 307-3688
Entity
Organization

Contact information

Practice address
408 N 55TH AVE, YAKIMA, WA 98908-2801
(509) 307-3688
(509) 461-4991
Mailing address
408 N 55TH AVE, YAKIMA, WA 98908-2801
(509) 307-3688
(509) 461-4991

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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