# CARE CENTER UNION GAP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Care & Rehabilitation - Parkside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730423757
- **Authorized official:** GREGORY J VISLOCKY (EX V.P. OF FINANCE / PARTNER)
- **Authorized official phone:** (360) 735-7155

## Contact information

- **Practice address:** 308 W EMMA ST, UNION GAP, WA 98903-1940
- **Practice address phone:** (509) 248-1985
- **Practice address fax:** (509) 248-9133
- **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 | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 01/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4114586 | — | WA |