STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Assisted Living Facility
Orting, Washington
Provider NPI: 1972594810
Organization Information:Organization Name: STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Practice Location:
1301 ORTING/KAPOWSIN HWY ORTING, WA 98360 US
Tel: 360-893-4500 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:
1301 ORTING/KAPOWSIN HWY ORTING, WA 98360 US
Tel: 360-893-4500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | N/A |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | WA | N/A |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4000014 | WA | 05 | |
400014 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin