# BETHANY OF THE NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethany at Silver Lake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497884043
- **Authorized official:** DENNEY AUSTIN (CEO)
- **Authorized official phone:** (425) 551-6400

## Contact information

- **Practice address:** 2235 LAKE HEIGHTS ROAD, EVERETT, WA 98201
- **Practice address phone:** (425) 338-3000
- **Practice address fax:** (425) 338-1147
- **Mailing address:** P.O. BOX 5128, EVERETT, WA 98206-5128
- **Mailing address phone:** (425) 259-5508
- **Mailing address fax:** (425) 258-5656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1049 | WA | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 01/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4110490 | — | WA |