| NPI | 1669787883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EUGENE STREETER Owner 509-216-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA MA 60141870) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |