Provider Demographics
NPI:1073047486
Name:VALENCIA&ASSOCIATES
Entity Type:Organization
Organization Name:VALENCIA&ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:MABEL
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RND
Authorized Official - Phone:509-881-8958
Mailing Address - Street 1:2036 LASSO DR
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8994
Mailing Address - Country:US
Mailing Address - Phone:509-881-8958
Mailing Address - Fax:509-667-2505
Practice Address - Street 1:2036 LASSO DR
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-8994
Practice Address - Country:US
Practice Address - Phone:509-881-8958
Practice Address - Fax:509-667-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA310400000X310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility