# PINEHURST PARK ROYAL OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326273889
- **Authorized official:** MR. MARC HARRY PRYDE (MANAGING MEMBER)
- **Authorized official phone:** (425) 451-4700

## Contact information

- **Practice address:** 2818 NE 145TH ST, SHORELINE, WA 98155-7556
- **Practice address phone:** (206) 418-2900
- **Practice address fax:** (206) 365-3295
- **Mailing address:** 50 116TH AVE SE, SUITE 200, BELLEVUE, WA 98004-6436
- **Mailing address phone:** (425) 451-4700
- **Mailing address fax:** (425) 453-6869

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 01/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4114211 | — | WA |