Organization
GOLDEN YEARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN D HOLZ (OWNER)
(509) 846-0146
Entity
Organization
Contact information
Practice address
48A HUBBARD RD, RIVERSIDE, WA 98849-9650
(509) 846-0146
(509) 846-0146
Mailing address
48 A HUBBARD ROAD, RIVERSIDE, WA 98849
(509) 846-0146
(509) 846-0146
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
597900
WA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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