# PARKWAY NORTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE HEALTHCARE, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710028303
- **Legal business name:** EAGLE HEALTHCARE, INC
- **Authorized official:** MS. LESLIE THIEME (PRESIDENT)
- **Authorized official phone:** (425) 285-3883

## Contact information

- **Practice address:** 12015 115TH AVE NE, BLDG E SUITE 195, KIRKLAND, WA 98034-6940
- **Practice address phone:** (425) 285-3883
- **Practice address fax:** (425) 285-3887
- **Mailing address:** 510 N PARKWAY AVE, BATTLE GROUND, WA 98604-8004
- **Mailing address phone:** (425) 285-3883
- **Mailing address fax:** (425) 285-3887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1406 | WA | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 05/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4112298 | — | WA |