Organization
EAST ADAMS CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BOSTROM (CEO/CFO)
(509) 659-5402
Entity
Organization
Contact information
Practice address
506 S JACKSON ST, RITZVILLE, WA 99169-2106
(509) 659-1600
Mailing address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
(509) 659-1252
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
603-462-445
WA
Other
Enumeration date
12/29/2014
Last updated
12/01/2016
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