# EXTENDICARE NORTH AUBURN REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXTENDICARE
- **Other names:** Prostep Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730518531
- **Legal business name:** EXTENDICARE
- **Authorized official:** MRS. TENISHA CHESNEY (CERTIFIED OCCUPATIONAL THERAPY ASST)
- **Authorized official phone:** (206) 229-7418

## Contact information

- **Practice address:** 2830 I ST NE, AUBURN, WA 98002-2410
- **Practice address phone:** (253) 561-8100
- **Practice address fax:** (253) 333-1718
- **Mailing address:** 2830 I ST NE, AUBURN, WA 98002-2410
- **Mailing address phone:** (253) 561-8100
- **Mailing address fax:** (253) 333-1718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 305R00000X | Preferred Provider Organization | OC60282758 | WA | — |
| 314000000X | Skilled Nursing Facility | OC60282758 | WA | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1811061518 | — | WA |