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LSREF GOLDEN OPS 26 (WA), LLC

Alzheimer Center

Port Orchard, Washington

Provider NPI: 1568699197

Organization Information:
Organization Name:  LSREF GOLDEN OPS 26 (WA), LLC


Practice Location:
300 S KITSAP BLVD  PORT ORCHARD, WA 98366 US
Tel: 360-874-7400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)

Other Provider Identifiers:

IssuerNumberStateType
315196WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS WA - Page 1



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