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Organization
FMG ALEXANDER STREET WASHINGTON LLC
Active
Organization
FMG ALEXANDER STREET WASHINGTON LLC
Active
Other names
Riverside Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. KEATING (AGENT)
(414) 908-8058
Entity
Organization
Contact information
Practice address
1305 ALEXANDER ST, CENTRALIA, WA 98531-1305
(360) 736-2823
(360) 736-1821
Mailing address
5001 WEST LEMON STREET, C/O FOCUS MANAGEMENT GROUP, TAMPA, FL 33609-1103
(813) 281-0062
(813) 281-0063
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/18/2014
Last updated
07/21/2022
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