# DEPARTMENT OF VETERANS AFFAIRS

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

## Provider details

- **NPI number:** 1790953099
- **Authorized official:** MS. DIEU MINH THI HOANG (LICENSED PRACTICAL NURSE)
- **Authorized official phone:** (206) 725-5098

## Contact information

- **Practice address:** 1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
- **Practice address phone:** (206) 762-1010
- **Mailing address:** 4811 S GRAHAM ST, \#D, SEATTLE, WA 98118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | LP00059774 | WA | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 02/20/2008