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Fmg North Garrison Road Washington LLC

Skilled Nursing Facility in Vancouver, WA. Organization (NPI-2).

NPI number1083002141
StatusActive
Last updated in NPPESDec 29, 2014

Details

NPI
1083002141
Entity type
Organization (NPI-2)
Legal business name
Fmg North Garrison Road Washington LLC
Organization subpart
No
Enumeration date
Dec 24, 2014
Last updated
Dec 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Pacific Specialty And Rehabilitative Care (Doing Business As)

Practice location

1015 N Garrison Rd
Vancouver, WA 98664-1354

Phone 360-694-7501 · Fax 360-694-8148

Mailing address

1015 N Garrison Rd
Vancouver, WA 98664-1354

Phone 360-694-7501 · Fax 360-694-8148

Authorized official

David Keating
Authorized Official
4149088058

Is something wrong?

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