| NPI | 1255389318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE L. PATTERSON Manager 360-892-6628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 120000170) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-02-25 |