| NPI | 1275581951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW V. MARTINI Manager 360-892-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCA-2627) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |