| NPI | 1053695262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA REGINA BACH Occupational Therapist 360-989-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA OT00004130) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-25 |