Organization
CARE CENTER UNION GAP INC.
Active
Other names
Prestige Care & Rehabilitation - Parkside
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (EX V.P. OF FINANCE / PARTNER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
308 W EMMA ST, UNION GAP, WA 98903-1940
(509) 248-1985
(509) 248-9133
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4114586
—
WA
Enumeration date
11/15/2012
Last updated
01/15/2013
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