Organization
LAUREL HILL ENTERPRISES
Active
Other names
Regency at The Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY M WHITE (ADMINISTRATOR)
(509) 529-4480
Entity
Organization
Contact information
Practice address
420 SE MYRA RD, COLLEGE PLACE, WA 99324-1796
(509) 529-4480
(509) 529-8776
Mailing address
420 SE MYRA RD, COLLEGE PLACE, WA 99324-1796
(509) 529-4480
(509) 529-8776
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4112850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112850
—
WA
Enumeration date
10/31/2005
Last updated
08/22/2020
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