Organization
MARTHA AND MARY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNETTE L LADENBURG (CEO)
(360) 779-7500
Entity
Organization
Contact information
Practice address
19160 FRONT ST NE, POULSBO, WA 98370-0127
(360) 779-7500
Mailing address
19160 FRONT ST NE, PO BOX 127, POULSBO, WA 98370-0127
(360) 779-7500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1216
NURSING HOME LICENSE
WA
05
—
4112165
—
WA
Enumeration date
08/01/2005
Last updated
06/01/2017
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