| NPI | 1477874816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WOODS Owner 509-682-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WA MD00038313) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |