NPI | 1356655286 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA J TATE Administrator 509-823-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA IHS.FS.60158990) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |