Organization
TEKOA MEDICAL FOUNDATION INC
Active
Other names
Tekoa Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY IRENE FLETCHER RN NHA (ADMINISTRATOR)
(509) 284-4501
Entity
Organization
Contact information
Practice address
330 N MADISON ST, TEKOA, WA 99033-9772
(509) 284-4501
(509) 286-3737
Mailing address
330 N MADISON ST, TEKOA, WA 99033-9772
(509) 284-4501
(509) 286-3737
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH597
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4159703
—
WA
Enumeration date
12/20/2005
Last updated
08/22/2020
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