| NPI | 1568429900 |
|---|---|
| Doing Business As | IDA CULVER HOUSE BROADVIEW HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | TARA L TRAVERS Director Of Clinical Services Admin 206-368-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1065) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WA 945) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-05-28 |