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Organization
ALDERCREST HEALTH - EDMONDS LLC
Active
Organization
ALDERCREST HEALTH - EDMONDS LLC
Active
Other names
Aldercrest Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOV E JACOBS (MANAGER)
(323) 678-4426
Entity
Organization
Contact information
Practice address
21400 72ND AVE W, EDMONDS, WA 98026-7702
(425) 775-1961
(425) 771-0116
Mailing address
21400 72ND AVENUE WEST, EDMONDS, WA 98026-7702
(425) 774-1961
(425) 771-0116
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4194403
—
WA
Enumeration date
11/16/2006
Last updated
08/18/2017
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