# WASHINGTON STATE WALLA WALLA VETERANS HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WASHINGTON STATE DEPARTMENT OF VETERANS AFFAIRS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548627011
- **Legal business name:** WASHINGTON STATE DEPARTMENT OF VETERANS AFFAIRS
- **Authorized official:** MR. TERRANCE WESTHOFF (CFO)
- **Authorized official phone:** (360) 725-2171

## Contact information

- **Practice address:** 92 WAINWRIGHT DRIVE, WALLA WALLA, WA 99362
- **Practice address phone:** (360) 895-4710
- **Practice address fax:** (360) 895-4453
- **Mailing address:** 92 WAINWRIGHT DR, WALLA WALLA, WA 99362
- **Mailing address phone:** (509) 520-9879
- **Mailing address fax:** (360) 895-4453

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 09/28/2020