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Organization
WHIDBEY ISLAND MANOR, INC.
Active
Organization
WHIDBEY ISLAND MANOR, INC.
Active
Other names
Whidbey Island Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. WIGGINS (ADMINISTRATOR/CEO)
(360) 675-5913
Entity
Organization
Contact information
Practice address
235 SW 6TH AVE, OAK HARBOR, WA 98277-1900
(360) 675-5913
Mailing address
PO BOX 1900, OAK HARBOR, WA 98277-1900
(360) 675-5913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4148102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4148102
—
WA
Enumeration date
11/02/2006
Last updated
08/22/2020
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