| NPI | 1619402765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. MILLER CFO And Assistant Manager 360-892-6628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-03-09 |