# CARE CENTER CENTRALIA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRESTIGE CARE INC
- **Other names:** Prestige Post-Acute and Rehabilitation Center - Liberty
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255743019
- **Legal business name:** PRESTIGE CARE INC
- **Authorized official:** MR. GREGORY J VISLOCKY (EXEC V.P. OF FINANCE / PARTNER)
- **Authorized official phone:** (360) 735-7155

## Contact information

- **Practice address:** 917 S SCHEUBER RD, CENTRALIA, WA 98531-9027
- **Practice address phone:** (360) 736-9384
- **Practice address fax:** (360) 736-6284
- **Mailing address:** 7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA 98662-6648
- **Mailing address phone:** (360) 735-7155
- **Mailing address fax:** (360) 816-8258

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 05/28/2014