| NPI | 1699019711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J VISLOCKY Ex VP Of Finance / Partner 360-735-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1303) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-01-15 |