| NPI | 1477641249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCRIVENS CEO 425-330-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1245) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-07-09 |