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Organization

RICHMOND BEACH REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E. KOFSTAD (CEO)
(971) 224-2033
Entity
Organization

Contact information

Practice address
19235 15TH AVE NW, SHORELINE, WA 98177-2725
(206) 546-2666
(206) 542-1164
Mailing address
19235 15TH AVE NW, SHORELINE, WA 98177-2725
(206) 546-2666
(206) 542-1164

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4113460
WA
Enumeration date
09/18/2005
Last updated
07/15/2025
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