Healthcare Provider Details

I. General information

NPI: 1518890177
Provider Name (Legal Business Name): GOLDEN YEARS ADULT FAMILY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 NUMBER 1 CANYON RD
WENATCHEE WA
98801-2452
US

IV. Provider business mailing address

2710 NUMBER 1 CANYON RD # 24
WENATCHEE WA
98801-2452
US

V. Phone/Fax

Practice location:
  • Phone: 509-860-0863
  • Fax:
Mailing address:
  • Phone: 509-860-0863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: FABIOLA GARIBAY
Title or Position: OWNER
Credential:
Phone: 509-860-0863