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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PANORAMA

Active Organization

Skilled Nursing Facility · LACEY, WA

Registration Details

NPI Number
1124011499
Provider Type
Organization
NPI Issued
Aug 23, 2005 (20.661150714672 yrs)
Last Updated
Jul 29, 2014
Licenses
41-507-02 (WA)
50-5059 (WA)
NH507 (WA)

Practice Information

Address
1600 SLEATER KINNEY RD SE
LACEY, WA, 985032500
Browse WA providers · Browse ZIP 98503
Phone
3604385000
Fax
3604136015
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Assisted Living Facility
Additional Specialty
Skilled Nursing Facility

Other Skilled Nursing Facility Organizations in LACEY, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.