NPI 1407360936

Ponderosa Retirement Center INC.

Organisation Assisted Living Facility Yakima, WA

Practice location

Address: 3300 Englewood Ave, Yakima, WA 98902-1517
Phone: (509) 453-1366
Fax: (509) 452-4907

Authorised official

Name: Tina Michelle Moss
Title: Administrator
Phone: (509) 453-1366

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Washington →

Registry record

NPI: 1407360936
Entity type: Organization
NPI issued: 20 Nov 2017
Record last updated: 20 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.