# TALBOT REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Talbot Center for Rehabilitation and Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851804959
- **Authorized official:** SAMUEL ZACK (MEMBER)
- **Authorized official phone:** (323) 936-6000

## Contact information

- **Practice address:** 4430 TALBOT ROAD SOUTH, RENTON, WA 98055
- **Practice address phone:** (425) 226-7500
- **Practice address fax:** (425) 793-4874
- **Mailing address:** 230 N. MARYLAND AVENUE, SUITE 300, GLENDALE, CA 91206
- **Mailing address phone:** (323) 936-6000
- **Mailing address fax:** (323) 936-6004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2017
- **Last updated:** 04/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 505202 | CMS CERTIFICATION NUMBER | WA |
