Organization
STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE WESTHOFF (CFO)
(360) 725-2171
Entity
Organization
Contact information
Practice address
1301 ORTING/KAPOWSIN HWY, ORTING, WA 98360
(360) 893-4500
(360) 893-4590
Mailing address
1301 ORTING KAPOWSIN HWY E, ORTING, WA 98360
(360) 893-4500
(360) 893-4590
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N/A
WA
313M00000X
Nursing Facility/Intermediate Care Facility
N/A
WA
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000014
—
WA
05
—
400014
—
WA
Enumeration date
10/31/2005
Last updated
09/28/2020
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