Organization
CARE CENTER HAZEL DELL INC
Active
Other names
Discovery Nursing & Rehab of Vancouver
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (EXEC VP OF FINANCE)
(360) 735-7155
Entity
Organization
Contact information
Practice address
5220 NE HAZEL DELL AVE, VANCOUVER, WA 98663-1242
(360) 693-1474
(360) 694-7470
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
1353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113536
—
WA
Enumeration date
09/22/2005
Last updated
01/28/2011
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