820 Nw 95th Street Operations LLC
Skilled Nursing Facility in Seattle, WA. Organization (NPI-2).
NPI number1285286559
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1285286559
- Entity type
- Organization (NPI-2)
- Legal business name
- 820 Nw 95th Street Operations LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2019
- Last updated
- Jul 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Ballard Center (Doing Business As)
Practice location
820 Nw 95th StSeattle, WA 98117-2207
Phone 206-782-0100 · Fax 206-782-0101
Mailing address
820 Nw 95th StSeattle, WA 98117-2207
Phone 206-782-0100 · Fax 206-782-0101
Authorized official
Michael T Berg
Authorized Official
5054684742
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