| NPI | 1720111800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO H NELSON Administrator 425-895-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: WA 602178492) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-07-13 |