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Organization

MADELEINE VILLA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL E. DOWNEY (OWNER/CEO)
(360) 659-1259
Entity
Organization

Contact information

Practice address
5925 47TH AVE NE, MARYSVILLE, WA 98270-5152
(360) 659-1259
(360) 657-3562
Mailing address
5921 47TH AVE NE, MARYSVILLE, WA 98270-5152
(360) 659-1259
(360) 657-3562

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
505
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212762001
GROUP HEALTH COOPERATIVE
WA
01
220
PREMERA BLUE CROSS
WA
05
4150504
WA
01
MA4479
REGENCE BLUE SHIELD
WA
Enumeration date
08/19/2005
Last updated
08/26/2013
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