# VIDELL HEALTHCARE MERCER ISLAND, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIDELL HEALTHCARE, L.L.C.
- **Other names:** Mercer Island Care and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326391582
- **Legal business name:** VIDELL HEALTHCARE, L.L.C.
- **Authorized official:** STEPHEN J. LAFORTE (MANAGER)
- **Authorized official phone:** (253) 277-3197

## Contact information

- **Practice address:** 7445 SE 24TH ST, MERCER ISLAND, WA 98040-2326
- **Practice address phone:** (253) 277-3197
- **Mailing address:** 16400 SOUTHCENTER PKWY STE 208, TUKWILA, WA 98188-3383
- **Mailing address phone:** (253) 277-3197

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 12/20/2012