Organization
PINE MOUNTAIN RIDGE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE PRATHER (OWNER)
(509) 845-1648
Entity
Organization
Contact information
Practice address
590 PINE MOUNTAIN DR, YAKIMA, WA 98903-9157
(509) 845-1648
Mailing address
590 PINE MOUNTAIN DR, YAKIMA, WA 98903-9157
(509) 845-1648
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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