# STATE OF WASHINGTON WASHINGTON SOLDIERS HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972594810
- **Authorized official:** MR. TERRANCE WESTHOFF (CFO)
- **Authorized official phone:** (360) 725-2171

## Contact information

- **Practice address:** 1301 ORTING/KAPOWSIN HWY, ORTING, WA 98360
- **Practice address phone:** (360) 893-4500
- **Practice address fax:** (360) 893-4590
- **Mailing address:** 1301 ORTING KAPOWSIN HWY E, ORTING, WA 98360
- **Mailing address phone:** (360) 893-4500
- **Mailing address fax:** (360) 893-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 09/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4000014 | — | WA |
| 05 | — | 400014 | — | WA |