Organization
NORTHWOODS LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DURHAM (BILLING MANAGER)
(360) 337-7422
Entity
Organization
Contact information
Practice address
2321 NW SCHOLD PL, SILVERDALE, WA 98383-9504
(360) 337-7422
(360) 698-7488
Mailing address
2321 SCHOLD PLACE, SILVERDALE, WA 98383
(360) 337-7422
(360) 698-7488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
505484
WA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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