Organization
EXTENDICARE HOMES, INC.
Active
Other names
Kittitas Valley Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
1050 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3930
(509) 925-4171
(509) 925-7794
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4196903
—
WA
Enumeration date
11/17/2006
Last updated
04/07/2008
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