# EAST ADAMS CARE CENTER LLC

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

## Provider details

- **NPI number:** 1518355569
- **Authorized official:** GARY BOSTROM (CEO/CFO)
- **Authorized official phone:** (509) 659-5402

## Contact information

- **Practice address:** 506 S JACKSON ST, RITZVILLE, WA 99169-2106
- **Practice address phone:** (509) 659-1600
- **Mailing address:** 903 S ADAMS ST, RITZVILLE, WA 99169-2227
- **Mailing address phone:** (509) 659-1200
- **Mailing address fax:** (509) 659-1252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 603-462-445 | WA | Yes |

## Other

- **Enumeration date:** 12/29/2014
- **Last updated:** 12/01/2016