Organization
NORTHWEST CARE-SHORELINE, INC.
Active
Other names
PARK RIDGE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CHIEF FIANCIAL OFFICER)
(949) 373-8373
Entity
Organization
Contact information
Practice address
1250 NE 145TH ST, SHORELINE, WA 98155-7134
(206) 363-5856
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1351
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113510
—
WA
Enumeration date
12/09/2005
Last updated
04/05/2024
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