NPI 1174765523

Summit Pacific Rehabilitation

Organisation Skilled Nursing Facility Centralia, WA

Practice location

Address: 1509 Harrison Ave, Centralia, WA 98531-4568
Phone: (360) 736-0112
Mailing address: 970 5th Ave NW Suite 7, Issaquah, WA 98027-2469

Authorised official

Name: Amy Manning
Title: Pta
Phone: (360) 740-5192

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1174765523
Entity type: Organization
NPI issued: 1 Apr 2009
Record last updated: 1 Apr 2009

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.