| NPI | 1164467734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LOPES Administrator 425-353-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1166) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-06-17 |