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Organization
EMPRES AT SEATTLE, LLC
Active
Organization
EMPRES AT SEATTLE, LLC
Active
Parent organization
EMPRES WASHINGTON HEALTHCARE, LLC
Other names
Transitional Care Center of Seattle
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES WASHINGTON HEALTHCARE, LLC
Authorized official
MICHAEL J. MILLER (CEO AND ASSISTANT MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
2611 S DEARBORN ST, SEATTLE, WA 98144-3013
(360) 892-6628
(360) 882-5793
Mailing address
4601 NE 77TH AVE # SUIE300, VANCOUVER, WA 98662-6729
(360) 892-6628
(360) 882-5789
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621
DSHS NH LICENSE
WA
05
—
2155326
—
WA
01
—
505534
MEDICARE
WA
01
—
50D2192671
CLIA WAIVER
WA
01
—
604595856
SECRETARY OF STATE
WA
Enumeration date
04/17/2020
Last updated
01/20/2021
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