Organization
CASCADE PARK CARE CENTER/LIFE CARE CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA REGINA BACH OTR/L, CAPS (OCCUPATIONAL THERAPIST)
(360) 989-8802
Entity
Organization
Contact information
Practice address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 260-2200
Mailing address
808 NW 22ND AVE, BATTLE GROUND, WA 98604-4699
(360) 989-8802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT00004130
WA
Other
Enumeration date
10/06/2011
Last updated
10/25/2011
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