Organization
PINEHURST PARK ROYAL OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC HARRY PRYDE (MANAGING MEMBER)
(425) 451-4700
Entity
Organization
Contact information
Practice address
2818 NE 145TH ST, SHORELINE, WA 98155-7556
(206) 418-2900
(206) 365-3295
Mailing address
50 116TH AVE SE, SUITE 200, BELLEVUE, WA 98004-6436
(425) 451-4700
(425) 453-6869
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4114211
—
WA
Enumeration date
05/27/2009
Last updated
01/10/2014
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