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Organization
PINEHURST PARK ROYAL OPERATIONS, LLC
Active
Organization
PINEHURST PARK ROYAL OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC HARRY PRYDE (MANAGING MEMBER)
(425) 451-4700
Entity
Organization
Contact information
Practice address
2818 NE 145TH ST, SHORELINE, WA 98155-7556
(206) 418-2900
(206) 365-3295
Mailing address
50 116TH AVE SE, SUITE 200, BELLEVUE, WA 98004-6436
(425) 451-4700
(425) 453-6869
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4114211
—
WA
Enumeration date
05/27/2009
Last updated
01/10/2014
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