Organization
ELLENSBURG VENTURES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY VISLOCKY (MANAGING MEMBER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
802 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3874
(509) 925-3099
Mailing address
7700 NE PARKWAY DR STE 300, VANCOUVER, WA 98662-6654
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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