# MISSION HEALTHCARE AT BELLEVUE, JOINT VENTURE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSION HEALTHCARE AT BELLEVUE, JOINT VENTURE
- **Other names:** Mission Healthcare at Renton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487217824
- **Legal business name:** MISSION HEALTHCARE AT BELLEVUE, JOINT VENTURE
- **Authorized official:** MONDELL E WORKMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (425) 362-6200

## Contact information

- **Practice address:** 17420 106TH PL SE, RENTON, WA 98055-5438
- **Practice address phone:** (425) 362-6200
- **Mailing address:** 4411 POINT FOSDICK DR NW STE 203, GIG HARBOR, WA 98335-1703
- **Mailing address phone:** (253) 853-4457

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2019
- **Last updated:** 04/22/2019