| NPI | 1710028303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE THIEME President 425-285-3883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1406) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-05-27 |