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Organization
MADELEINE VILLA INC.
Active
Organization
MADELEINE VILLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. DOWNEY (OWNER/CEO)
(360) 659-1259
Entity
Organization
Contact information
Practice address
5925 47TH AVE NE, MARYSVILLE, WA 98270-5152
(360) 659-1259
(360) 657-3562
Mailing address
5921 47TH AVE NE, MARYSVILLE, WA 98270-5152
(360) 659-1259
(360) 657-3562
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212762001
GROUP HEALTH COOPERATIVE
WA
01
—
220
PREMERA BLUE CROSS
WA
05
—
4150504
—
WA
01
—
MA4479
REGENCE BLUE SHIELD
WA
Enumeration date
08/19/2005
Last updated
08/26/2013
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