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Organization

CARE CENTER COLVILLE INC.

Active
Other names
Prestige Care & Rehabilitation - Pinewood Terrace
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY J VISLOCKY (EX VP OF FINANCE / PARTNER)
(360) 735-7155
Entity
Organization

Contact information

Practice address
1000 E ELEP AVE, COLVILLE, WA 99114-5014
(509) 684-2573
(509) 685-2234
Mailing address
7700 NE PARKWAY DRIVE, SUITE 300, VANCOUVER, WA 98662-6654
(360) 735-7155
(360) 735-9416

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1303
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4114578
WA
Enumeration date
11/15/2012
Last updated
01/15/2013
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