Organization
FIR LANE HEALTH - SHELTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOV E. JACOBS (MANAGER)
(323) 678-4426
Entity
Organization
Contact information
Practice address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
(360) 426-2140
Mailing address
3220 ROSEDALE ST NW, GIG HARBOR, WA 98335-1837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
07/21/2022
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