Organization
LSREF GOLDEN OPS VB (WA), LLC
Active
Other names
Blossom Valley Senior Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
WICKLIFFE PETERSON (EXECUTIVE VICE PRESIDENT)
(858) 436-7662
Entity
Organization
Contact information
Practice address
1701 ORCHARD AVE, WENATCHEE, WA 98801-4702
(509) 667-0990
Mailing address
500 STEVENS AVE, SUITE 100, SOLANA BEACH, CA 92075-2055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315300
—
WA
Enumeration date
07/01/2009
Last updated
07/01/2009
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