| NPI | 1467512376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY B GRAVEL President 206-281-6745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 985-C) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-11-06 |