Organization
COLONIAL VISTA CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B. NORMAN (ADMINISTRATOR)
(509) 665-9462
Entity
Organization
Contact information
Practice address
625 OKANOGAN AVE., WENATCHEE, WA 98801
(509) 888-6090
(509) 665-7388
Mailing address
681 OKANOGAN AVE STE A, WENATCHEE, WA 98801-3461
(509) 663-8564
(509) 663-0461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113056
—
WA
Enumeration date
09/14/2005
Last updated
02/28/2018
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