NPI | 1306932322 |
---|---|
Doing Business As | HIGH STREET NURSING CENTER LLC |
Entity Type | Organization |
Authorized Contact | RANDAL KLEIS President 425-820-9750 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 020000045) |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2008-07-18 |