| NPI | 1407842800 |
|---|---|
| Doing Business As | COAST FORK NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY J VISLOCKY Exec. VP Of Finance 360-735-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |