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Organization
VASHON ISLAND ELDER CARE 2 INC
Active
Organization
VASHON ISLAND ELDER CARE 2 INC
Active
Other names
Island Elder Care
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA DIAN SHIPLEY RN (PROVIDER)
(206) 856-1670
Entity
Organization
Contact information
Practice address
7319 SW 258TH PL, VASHON, WA 98070-8507
(206) 856-1670
Mailing address
PO BOX 513, VASHON, WA 98070-0513
(206) 856-1670
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
—
NULL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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