HEARTSTONE COTTAGES LLC
Assisted Living Facility
Ellensburg, Washington
Provider NPI: 1164417226
Organization Information:Organization Name: HEARTSTONE COTTAGES LLC
Practice Location:
802 E MOUNTAIN VIEW AVE ELLENSBURG, WA 98926 US
Tel: 509-662-1636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
802 E MOUNTAIN VIEW AVE ELLENSBURG, WA 98926 US
Tel: 509-662-1636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | BH 1429 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
555390 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin