| NPI | 1053594697 |
|---|---|
| Other Name | NW GERIATRIC CONSULTANTS INC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TODD ROSS Owner 360-254-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA MD00019932) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OR MD12417) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2009-10-28 |