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Organization
STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Active
Organization
STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE WESTHOFF (CFO)
(360) 725-2171
Entity
Organization
Contact information
Practice address
1301 ORTING/KAPOWSIN HWY, ORTING, WA 98360
(360) 893-4500
(360) 893-4590
Mailing address
1301 ORTING KAPOWSIN HWY E, ORTING, WA 98360
(360) 893-4500
(360) 893-4590
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N/A
WA
313M00000X
Nursing Facility/Intermediate Care Facility
N/A
WA
313M00000X
Nursing Facility/Intermediate Care Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000014
—
WA
05
—
400014
—
WA
Enumeration date
10/31/2005
Last updated
09/28/2020
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