| NPI | 1063419190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M LARSON Administrator 253-476-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NLT1218) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |