# CARE CENTER EDMONDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Post-Acute and Rehab Center - Edmonds
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316125321
- **Authorized official:** GREGORY J VISLOCKY (EVP OF FINANCE)
- **Authorized official phone:** (360) 735-7155

## Contact information

- **Practice address:** 21008 76TH AVE W, EDMONDS, WA 98026-7104
- **Practice address phone:** (425) 778-0107
- **Practice address fax:** (425) 776-9532
- **Mailing address:** 7700 NE PARKWAY DR STE 300, VANCOUVER, WA 98662-6654
- **Mailing address phone:** (360) 735-7155
- **Mailing address fax:** (360) 735-9416

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 05/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4915281 | — | WA |