Organization
FMG ALEXANDER STREET WASHINGTON LLC
Active
Other names
Riverside Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. KEATING (AGENT)
(414) 908-8058
Entity
Organization
Contact information
Practice address
1305 ALEXANDER ST, CENTRALIA, WA 98531-1305
(360) 736-2823
(360) 736-1821
Mailing address
5001 WEST LEMON STREET, C/O FOCUS MANAGEMENT GROUP, TAMPA, FL 33609-1103
(813) 281-0062
(813) 281-0063
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
07/21/2022
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