# KINDRED NURSING CENTERS WEST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023039872
- **Authorized official:** MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7300

## Contact information

- **Practice address:** 11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3006
- **Practice address phone:** (253) 581-9002
- **Practice address fax:** (253) 581-7016
- **Mailing address:** 680 S 4TH ST, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-7301
- **Mailing address fax:** (502) 596-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1256 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4112561 | — | WA |
| 01 | — | 505347 | TRICARE FOR LIFE | WA |
| 01 | — | 69308 | WA STATE LABOR & INDUSTRY | WA |