NPI 1164547626

Rainier State School

Organisation Intellectual Disabilities Intermediate Care Facility Buckley, WA

Practice location

Address: 2120 Ryan Rd, Buckley, WA 98321-9115
Phone: (360) 829-1111
Fax: (360) 829-3088

Authorised official

Name: Colleen T Peck
Title: Medical Director
Phone: (425) 301-9856

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Washington →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Washington →

Registry record

NPI: 1164547626
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 3 Jan 2023

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.