| NPI | 1487651121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRI CARTER Administrator 509-684-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH 1244) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WA BH 1023) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-03-11 |