Organization
VASHON ISLAND COMMUNITY CARE
Active
Other names
DBA: Vashon Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANELLE ELIZABETH ANSELL NHA00002425 (ADMINISTRATOR)
(206) 567-4421
Entity
Organization
Contact information
Practice address
15333 VASHON HWY SW, VASHON ISLAND, WA 98070-3831
(206) 567-4421
(206) 567-5052
Mailing address
15333 VASHON HWY SW, VASHON ISLAND, WA 98070-3831
(206) 567-4421
(206) 567-5052
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1331
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114267
DSHS-COPES BOARDING HOME#
WA
05
—
4113312
—
WA
01
—
993197
DSHS-COPES ADULT DAY PROG
WA
Enumeration date
01/05/2007
Last updated
04/04/2012
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