Covenant Living West
Skilled Nursing Facility in Mercer Island, WA. Organization (NPI-2).
NPI number1023190824
StatusActive
Last updated in NPPESJul 30, 2019
Details
- NPI
- 1023190824
- Entity type
- Organization (NPI-2)
- Legal business name
- Covenant Living West
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Jul 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1231 | WA | Yes |
Other names
- Covenant Shores Health Center (Doing Business As)
Practice location
9107 Fortuna DrMercer Island, WA 98040-3132
Phone 206-268-3000 · Fax 206-236-1438
Mailing address
9150 Fortuna DriveMercer Island, WA 98040-3133
Phone 206-268-3000 · Fax 206-236-1438
Authorized official
Elizabeth Malzahn
Vice President Of Health Services
7738784430
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