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Organization
BETHANY OF THE NORTHWEST
Active
Organization
BETHANY OF THE NORTHWEST
Active
Other names
Bethany at Pacific
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SCRIVENS (CEO)
(425) 551-6400
Entity
Organization
Contact information
Practice address
916 PACIFIC AVENUE, EVERETT, WA 98201
(425) 259-5508
(425) 258-5656
Mailing address
PO BOX 13700, MILL CREEK, WA 98082-1700
(425) 332-4475
(425) 740-0426
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
313007682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112900
—
WA
Enumeration date
04/11/2006
Last updated
07/18/2022
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