Organization
RENTON HEALTHCARE REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ZACK (MEMBER)
(323) 936-6000
Entity
Organization
Contact information
Practice address
80 SW 2ND ST, RENTON, WA 98057-5937
(425) 226-4610
Mailing address
230 N MARYLAND AVE STE 300, GLENDALE, CA 91206-4281
(323) 936-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113783
—
WA
Enumeration date
01/25/2017
Last updated
10/11/2017
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