| NPI | 1336247584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI SCHEEL Administrator 360-254-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1278) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |