# CARE CENTER HAZEL DELL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Discovery Nursing & Rehab of Vancouver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578559894
- **Authorized official:** GREGORY J VISLOCKY (EXEC VP OF FINANCE)
- **Authorized official phone:** (360) 735-7155

## Contact information

- **Practice address:** 5220 NE HAZEL DELL AVE, VANCOUVER, WA 98663-1242
- **Practice address phone:** (360) 693-1474
- **Practice address fax:** (360) 694-7470
- **Mailing address:** 7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA 98662-6648
- **Mailing address phone:** (360) 735-7155
- **Mailing address fax:** (360) 735-9416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1353 | WA | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 01/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113536 | — | WA |