| NPI | 1639129695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY K. WINEGAR Superintendent 509-698-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WA 342007865) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-11-01 |