NPI 1003362567

Pacifica Sl Ellensburg LLC

Organisation Assisted Living Facility Ellensburg, WA

Practice location

Address: 818 E Mountain View Ave, Ellensburg, WA 98926-3866
Phone: (509) 925-1220
Mailing address: 1775 Hancock St STE 200, San Diego, CA 92110-2036

Authorised official

Name: Deepak Israni
Title: General Manager
Phone: (619) 296-9000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003362567
Entity type: Organization
NPI issued: 25 Aug 2016
Record last updated: 25 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.