| NPI | 1184619249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B. NORMAN Administrator 509-665-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH1305) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2018-02-28 |