| NPI | 1780734509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EARL KELLEN Assistant Superintendent 509-299-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WA 00L020) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-06-20 |