| NPI | 1457346512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA V WILEY Controller 509-662-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH 1307) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |