# PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyline at First Hill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306834627
- **Authorized official:** MR. FREDERICK M KELLEGREW (PRESIDENT & CEO)
- **Authorized official phone:** (206) 826-2126

## Contact information

- **Practice address:** 715 9TH AVE, SEATTLE, WA 98104-2066
- **Practice address phone:** (206) 826-2120
- **Practice address fax:** (206) 826-2110
- **Mailing address:** 715 9TH AVE, SUITE 400, SEATTLE, WA 98104-2066
- **Mailing address phone:** (206) 826-2120
- **Mailing address fax:** (206) 826-2110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | BH213 | WA | — |
| 314000000X | Skilled Nursing Facility | NH602 | WA | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 11/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4160206 | — | WA |