| NPI | 1710218656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY J ADAMS Speech Language Pathologist 520-591-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA SI 60112795) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |