NPI 1205685666
South Creek Snf Healthcare LLC
Practice location
- Address
- 917 S Scheuber Rd, Centralia, WA 98531-9027
- Phone
- (360) 736-9384
- Mailing address
- 262 N University Ave, Farmington, UT 84025-2975
Authorised official
- Name
- John Mitchell
- Title
- Secretary
- Phone
- (801) 447-9829
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1205685666
- Entity type
- Organization
- NPI issued
- 16 May 2024
- Record last updated
- 16 May 2024
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.