| NPI | 1861964645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. MILLER CFO And Assistant Manager 360-892-6628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |