| NPI | 1619248655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE HORTON RN 360-275-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WA 60088426) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |