| NPI | 1275134678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN J STILLWELL Resident Manager 509-413-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |