# EASTSIDE RETIREMENT ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corwin Center at Emerald Heights
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861597205
- **Authorized official:** LISA A. HARDY (PRESIDENT AND CEO)
- **Authorized official phone:** (425) 556-8100

## Contact information

- **Practice address:** 10901 176TH CIRCLE NE, REDMOND, WA 98052-7218
- **Practice address phone:** (425) 556-8100
- **Practice address fax:** (425) 556-8104
- **Mailing address:** 10901 176TH CIRCLE NE, REDMOND, WA 98052-7218
- **Mailing address phone:** (425) 556-8100
- **Mailing address fax:** (425) 556-8104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1113 | WA | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 01/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41-111-34 | — | WA |