| NPI | 1497081301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANOJKA N STUART Speech Pathologist 360-941-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: WA LL00002815) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WA LL00002815) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |