Organization
EMPRES AT COLVILLE, LLC
Active
Parent organization
EMPRES WASHINGTON HEALTHCARE, LLC
Other names
Buena Vista Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES WASHINGTON HEALTHCARE, LLC
Authorized official
BRENT WEIL (CEO AND MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
151 BUENA VISTA DR, COLVILLE, WA 99114-8676
(509) 684-4539
(509) 685-0582
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6736
(360) 892-6628
(360) 816-1586
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
11/26/2014
Last updated
01/30/2017
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