NPI 1629476916

Fmg East Lauridsen Boulevard Washington LLC

Organisation Skilled Nursing Facility Port Angeles, WA

Practice location

Address: 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640
Phone: (360) 452-9206
Fax: (360) 457-2935
Mailing address: 5001 West Lemon Street C/O Focus Management Group, Tampa, FL 33609-1103

Authorised official

Name: David C. Keating
Title: Agent
Phone: (414) 908-8058

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Washington →

Registry record

NPI: 1629476916
Entity type: Organization
NPI issued: 18 Dec 2014
Record last updated: 21 Jul 2022

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.