Lsref Golden Ops Vb (wa), LLC
NPI #1972731677 in Wenatchee, Washington
Provider Information
- NPI Number
- 1972731677
- Entity Type
- Organization
- Organization Name
- Lsref Golden Ops Vb (wa), LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 1, 2009
- Last Updated
- Jul 1, 2009
Practice Location
- Address
- 1701 ORCHARD AVE
- City
- Wenatchee
- State
- Washington
- ZIP Code
- 98801-4702
- Phone
- (509) 667-0990
Authorized Official
- Name
- WICKLIFFE PETERSON
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (858) 436-7662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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