# CASCADE PARK CARE CENTER/LIFE CARE CENTERS OF AMERICA

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

## Provider details

- **NPI number:** 1053695262
- **Authorized official:** MRS. CARLA REGINA BACH OTR/L, CAPS (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (360) 989-8802

## Contact information

- **Practice address:** 801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
- **Practice address phone:** (360) 260-2200
- **Mailing address:** 808 NW 22ND AVE, BATTLE GROUND, WA 98604-4699
- **Mailing address phone:** (360) 989-8802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | OT00004130 | WA | Yes |

## Other

- **Enumeration date:** 10/06/2011
- **Last updated:** 10/25/2011