# RICHMOND BEACH REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710218656
- **Authorized official:** KELSEY J ADAMS MS (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (520) 591-2919

## Contact information

- **Practice address:** 19235 15TH AVE NW, SHORELINE, WA 98177-2725
- **Practice address phone:** (206) 546-2666
- **Mailing address:** 10014 5TH AVE NE, \#302, SEATTLE, WA 98125-7447
- **Mailing address phone:** (520) 591-2919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | SI 60112795 | WA | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 01/15/2010