| NPI | 1972594810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE WESTHOFF CFO 360-725-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WA N/A) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WA N/A) | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-09-28 |