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Intermediate Care Facility, Mental Illness

Yakima, Washington

Provider NPI: 1962623942

Organization Information:

Practice Location:
115 N 10TH ST  YAKIMA, WA 98901 US
Tel: 509-249-2776  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness

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


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