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Organization
FMG CAPITOL MALL DRIVE SOUTHWEST WASHINGTON LLC
Active
Organization
FMG CAPITOL MALL DRIVE SOUTHWEST WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. KEATING (AGENT)
(414) 908-8058
Entity
Organization
Contact information
Practice address
4001 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8657
(360) 754-9792
(360) 754-2455
Mailing address
5001 WEST LEMON STREET, C/O FOCUS MANAGEMENT GROUP, TAMPA, FL 33609-1103
(813) 281-0062
(813) 281-0063
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/18/2014
Last updated
07/21/2022
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