Provider Demographics
NPI:1689052540
Name:CRH CHRISTOPHER HOUSE LLC
Entity Type:Organization
Organization Name:CRH CHRISTOPHER HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-888-0773
Mailing Address - Street 1:100 S CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2605
Mailing Address - Country:US
Mailing Address - Phone:509-888-0773
Mailing Address - Fax:509-888-6751
Practice Address - Street 1:100 S CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2605
Practice Address - Country:US
Practice Address - Phone:509-888-0773
Practice Address - Fax:509-888-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6030148833104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness