Organization
EMERALD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOON (ADMINISTRATOR)
(509) 877-3175
Entity
Organization
Contact information
Practice address
209 N AHTANUM AVE, WAPATO, WA 98951-1125
(509) 877-3175
(509) 877-6135
Mailing address
209 N AHTANUM AVE, WAPATO, WA 98951-1125
(509) 877-3175
(509) 877-6135
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1366
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025300
—
WA
05
—
4113668
—
WA
Enumeration date
09/13/2005
Last updated
01/06/2012
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