Organization
KINDRED NURSING CENTERS WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3006
(253) 581-9002
(253) 581-7016
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7301
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112561
—
WA
01
—
505347
TRICARE FOR LIFE
WA
01
—
69308
WA STATE LABOR & INDUSTRY
WA
Enumeration date
07/21/2006
Last updated
10/18/2017
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