NPI 1114091733

Extendicare Homes, INC.

Organisation Skilled Nursing Facility Vancouver, WA

Practice location

Address: 1015 N Garrison Rd, Vancouver, WA 98664-1313
Phone: (360) 694-7501
Fax: (360) 694-8148
Mailing address: 111 W Michigan St, Milwaukee, WI 53203-2903

Authorised official

Name: Donna Jo Maassen
Title: Director of Compliance
Phone: (414) 908-8119

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Washington →

Registry record

NPI: 1114091733
Entity type: Organization
NPI issued: 17 Nov 2006
Record last updated: 7 Apr 2008

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.