Organization
BETHANY OF THE NORTHWEST
Active
Other names
Bethany at Pacific
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SCRIVENS (CEO)
(425) 551-6400
Entity
Organization
Contact information
Practice address
916 PACIFIC AVENUE, EVERETT, WA 98201
(425) 259-5508
(425) 258-5656
Mailing address
PO BOX 13700, MILL CREEK, WA 98082-1700
(425) 332-4475
(425) 740-0426
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
313007682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112900
—
WA
Enumeration date
04/11/2006
Last updated
07/18/2022
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