Organization
EXTENDICARE NORTH AUBURN REHABILITATION
Active
Parent organization
EXTENDICARE
Other names
Prostep Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTENDICARE
Authorized official
MRS. TENISHA CHESNEY (CERTIFIED OCCUPATIONAL THERAPY ASST)
(206) 229-7418
Entity
Organization
Contact information
Practice address
2830 I ST NE, AUBURN, WA 98002-2410
(253) 561-8100
(253) 333-1718
Mailing address
2830 I ST NE, AUBURN, WA 98002-2410
(253) 561-8100
(253) 333-1718
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
OC60282758
WA
314000000X
Skilled Nursing Facility
Primary
OC60282758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811061518
—
WA
Enumeration date
11/02/2013
Last updated
11/02/2013
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