Organization
CARE CENTER (SULLIVAN PARK) INC
Active
Other names
Sullivan Park Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (ASSISTANT TO PRESIDENT/CEO)
(360) 735-7155
Entity
Organization
Contact information
Practice address
14820 E 4TH AVE, SPOKANE VALLEY, WA 99216-2165
(509) 922-1644
(509) 922-8817
Mailing address
7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA 98662-6648
(360) 735-7155
(360) 735-9416
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1345
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4110698
—
WA
Enumeration date
09/22/2005
Last updated
08/22/2020
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