| NPI | 1720087448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M WASHBOND Administrator 360-479-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH575) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2009-06-22 |