PANORAMA
Assisted Living Facility
Lacey, Washington
Provider NPI: 1124011499
Organization Information:Organization Name: PANORAMA
Practice Location:
1600 SLEATER KINNEY RD SE LACEY, WA 98503 US
Tel: 360-438-5000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1600 SLEATER KINNEY RD SE LACEY, WA 98503 US
Tel: 360-438-5000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | WA | 41-507-02 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | 50-5059 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WA | NH507 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4150702 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin