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Organization
TEKOA MEDICAL FOUNDATION INC
Active
Organization
TEKOA MEDICAL FOUNDATION INC
Active
Other names
Tekoa Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY IRENE FLETCHER RN NHA (ADMINISTRATOR)
(509) 284-4501
Entity
Organization
Contact information
Practice address
330 N MADISON ST, TEKOA, WA 99033-9772
(509) 284-4501
(509) 286-3737
Mailing address
330 N MADISON ST, TEKOA, WA 99033-9772
(509) 284-4501
(509) 286-3737
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH597
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4159703
—
WA
Enumeration date
12/20/2005
Last updated
08/22/2020
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