NPI 1528239753

Miranda Care Adult Family Home

Organisation Custodial Care Facility Yakima, WA

Practice location

Address: 601 N 39th St, Yakima, WA 98901-1222
Phone: (509) 577-0423
Fax: (509) 577-0635

Authorised official

Name: Nicole Christine Reese
Title: Registered Nurse Owner
Phone: (509) 952-5564

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence A208501 (WA)

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Registry record

NPI: 1528239753
Entity type: Organization
NPI issued: 16 Mar 2008
Record last updated: 16 Mar 2008

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.