# VASHON ISLAND ELDER CARE 2 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Island Elder Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114522703
- **Authorized official:** THERESA DIAN SHIPLEY RN (PROVIDER)
- **Authorized official phone:** (206) 856-1670

## Contact information

- **Practice address:** 7319 SW 258TH PL, VASHON, WA 98070-8507
- **Practice address phone:** (206) 856-1670
- **Mailing address:** PO BOX 513, VASHON, WA 98070-0513
- **Mailing address phone:** (206) 856-1670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/01/2020