| NPI | 1568899698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KETTLER Enrollment Lead 360-729-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: WA HAC.FS.60417818) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2018-04-10 |