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Organization
FMG NORTH GARRISON ROAD WASHINGTON LLC
Active
Organization
FMG NORTH GARRISON ROAD WASHINGTON LLC
Active
Other names
Pacific Specialty and Rehabilitative Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
1015 N GARRISON RD, VANCOUVER, WA 98664-1354
(360) 694-7501
(360) 694-8148
Mailing address
1015 N GARRISON RD, VANCOUVER, WA 98664-1354
(360) 694-7501
(360) 694-8148
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/24/2014
Last updated
12/29/2014
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