Organization
PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST
Active
Other names
Park Shore
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET E NAHLIN RN (DIRECTOR OF NURSING SERVICES)
(206) 329-0770
Entity
Organization
Contact information
Practice address
1630 43RD AVE E, SEATTLE, WA 98112-6210
(206) 329-0770
(206) 329-0227
Mailing address
1630 43RD AVE E, SEATTLE, WA 98112-6210
(206) 329-0770
(206) 329-0227
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH 183
WA
314000000X
Skilled Nursing Facility
489
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111670
—
WA
01
—
489
NURSING HOME LICENSE
WA
01
—
BH 183
BOARDINGHOME LICENSE
WA
Enumeration date
11/01/2005
Last updated
09/11/2025
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