| NPI | 1639209034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KOLB Executive Director 425-806-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: WA IS-253) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |