| NPI | 1164845921 |
|---|---|
| Doing Business As | RUSSELLVILLE PARK |
| Entity Type | Organization |
| Authorized Contact | RAYN RASAR VP Operations 206-436-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |