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 |