Organization
BFG WENATCHEE PROPCO IV, LLC
Active
Other names
Fieldstone Memory Care of Wenatchee
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE GORDON DO (MANAGER DIRECTOR OF COMPLIANCE)
(509) 426-2756
Entity
Organization
Contact information
Practice address
817 RED APPLE RD, WENATCHEE, WA 98801
(509) 884-3178
Mailing address
506 N 40TH AVE STE 100, YAKIMA, WA 98908-4330
(509) 426-2756
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
01/14/2019
Last updated
01/14/2019
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