| NPI | 1467463752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K ROE President 360-293-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 4113148) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-04-17 |