Organization
CASCADE VISTA CONVALESCENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CAFFEY (CONTROLLER)
(425) 885-4157
Entity
Organization
Contact information
Practice address
7950 WILLOWS RD NE, REDMOND, WA 98052-6813
(425) 885-4157
(425) 882-3308
Mailing address
7950 WILLOWS RD NE, REDMOND, WA 98052-6813
(425) 885-4157
(425) 882-3308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195400
—
WA
Enumeration date
07/13/2005
Last updated
06/13/2013
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