Provider Demographics
NPI:1053583617
Name:CEDAR HILLS ARC, INC.
Entity type:Organization
Organization Name:CEDAR HILLS ARC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:O
Authorized Official - Last Name:REESE
Authorized Official - Suffix:JR
Authorized Official - Credentials:NAR
Authorized Official - Phone:509-457-6954
Mailing Address - Street 1:1603 DRAKE CT
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-6135
Mailing Address - Country:US
Mailing Address - Phone:509-457-6954
Mailing Address - Fax:509-249-1167
Practice Address - Street 1:1603 DRAKE CT
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-6135
Practice Address - Country:US
Practice Address - Phone:509-457-6954
Practice Address - Fax:509-249-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home