Organization
RENTON CARE CENTER, INC
Active
Other names
Regency at Renton Rehabilitation
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
80 SW 2ND ST, RENTON, WA 98055-1937
(425) 226-4610
(425) 255-6561
Mailing address
80 SW 2ND ST, RENTON, WA 98055-1937
(425) 226-4610
(425) 255-6561
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1378
WA
314000000X
Skilled Nursing Facility
Primary
1378
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113783
—
WA
Enumeration date
06/01/2006
Last updated
11/16/2012
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