Basic Information
| Provider Information | |||||||||
| NPI: | 1073047486 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VALENCIA&ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2036 LASSO DR | ||||||||
| Address2: | |||||||||
| City: | WENATCHEE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 988018994 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5098818958 | ||||||||
| FaxNumber: | 5096672505 | ||||||||
| Practice Location | |||||||||
| Address1: | 2036 LASSO DR | ||||||||
| Address2: | |||||||||
| City: | WENATCHEE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 988018994 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5098818958 | ||||||||
| FaxNumber: | 5096672505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2017 | ||||||||
| LastUpdateDate: | 04/13/2017 | ||||||||
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| AuthorizedOfficialLastName: | VALENCIA | ||||||||
| AuthorizedOfficialFirstName: | LADONNA | ||||||||
| AuthorizedOfficialMiddleName: | MABEL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5098818958 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | R.N.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | 310400000X | WA | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.