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Organization
STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
Active
Organization
STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
Active
Other names
WA Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE WESTHOFF (CFO)
(360) 725-2152
Entity
Organization
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
(360) 895-4453
Mailing address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
(360) 895-4453
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N/A
WA
313M00000X
Nursing Facility/Intermediate Care Facility
N/A
WA
314000000X
Skilled Nursing Facility
NOT APPLICABLE
WA
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000006
—
WA
01
—
50-5517
MEDICARE A
—
05
—
7102411
—
WA
Enumeration date
10/27/2005
Last updated
10/23/2023
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