# FORT VANCOUVER CONVALESCENT CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1336247584
- **Authorized official:** VICKI SCHEEL (ADMINISTRATOR)
- **Authorized official phone:** (360) 254-5335

## Contact information

- **Practice address:** 8507 NE 8TH WAY, VANCOUVER, WA 98664-1980
- **Practice address phone:** (360) 254-5335
- **Practice address fax:** (360) 892-2086
- **Mailing address:** 8507 NE 8TH WAY, VANCOUVER, WA 98664-1980
- **Mailing address fax:** (360) 892-2086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1278 | WA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020