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Organization
HUMANGOOD WASHINGTON
Active
Organization
HUMANGOOD WASHINGTON
Active
Other names
Judson Park Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization
Contact information
Practice address
23600 MARINE VIEW DR S, DES MOINES, WA 98198
(206) 824-4000
(206) 878-6404
Mailing address
1900 HUNTINGTON DR, DUARTE, CA 91010-2694
(818) 247-0420
(949) 528-2434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4179701
—
WA
Enumeration date
10/18/2006
Last updated
06/02/2025
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