# DELTA REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Snohomish Chalet
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205820669
- **Authorized official:** MR. WALLACE J WALSH (ADMINISTRATOR)
- **Authorized official phone:** (360) 568-2168

## Contact information

- **Practice address:** 1705 TERRACE AVE, SNOHOMISH, WA 98290-1914
- **Practice address phone:** (360) 568-2168
- **Practice address fax:** (360) 568-5547
- **Mailing address:** 1705 TERRACE AVE, SNOHOMISH, WA 98290-1914
- **Mailing address phone:** (360) 568-2168
- **Mailing address fax:** (360) 568-5547

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4154506 | — | WA |