NPI | 1396733440 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL J. HYATT Owner/Administrator 509-697-8503 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1108) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2011-04-28 |