Organization
FMG NORTH GARRISON ROAD WASHINGTON LLC
Active
Other names
Pacific Specialty and Rehabilitative Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
1015 N GARRISON RD, VANCOUVER, WA 98664-1354
(360) 694-7501
(360) 694-8148
Mailing address
1015 N GARRISON RD, VANCOUVER, WA 98664-1354
(360) 694-7501
(360) 694-8148
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/24/2014
Last updated
12/29/2014
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