| NPI | 1649275140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLA A DAVIS-MILLER Director Of Operations 253-566-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH 1098) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-07-21 |