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Organization
PARKWAY NORTH CARE CENTER
Active
Organization
PARKWAY NORTH CARE CENTER
Active
Parent organization
EAGLE HEALTHCARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HEALTHCARE, INC
Authorized official
MS. LESLIE THIEME (PRESIDENT)
(425) 285-3883
Entity
Organization
Contact information
Practice address
12015 115TH AVE NE, BLDG E SUITE 195, KIRKLAND, WA 98034-6940
(425) 285-3883
(425) 285-3887
Mailing address
510 N PARKWAY AVE, BATTLE GROUND, WA 98604-8004
(425) 285-3883
(425) 285-3887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112298
—
WA
Enumeration date
02/08/2007
Last updated
05/27/2008
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