Organization
STATE OF WASHINGTON, WASHINGTON VETERANS HOMES
Active
Other names
WA Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE WESTHOFF (CFO)
(360) 725-2152
Entity
Organization
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
(360) 895-4453
Mailing address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
(360) 895-4453
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N/A
WA
310400000X
Assisted Living Facility
—
WA
313M00000X
Nursing Facility/Intermediate Care Facility
N/A
WA
313M00000X
Nursing Facility/Intermediate Care Facility
—
WA
314000000X
Skilled Nursing Facility
NOT APPLICABLE
WA
314000000X
Skilled Nursing Facility
—
WA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000006
—
WA
01
—
50-5517
MEDICARE A
—
05
—
7102411
—
WA
Enumeration date
10/27/2005
Last updated
10/23/2023
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