Wa3 Op Renton LLC
NPI #1003408212 in Renton, Washington
Provider Information
- NPI Number
- 1003408212
- Entity Type
- Organization
- Organization Name
- Wa3 Op Renton LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 80 SW 2ND ST
- City
- Renton
- State
- Washington
- ZIP Code
- 98057-5937
- Phone
- (425) 226-4610
Authorized Official
- Name
- SAMUEL GOLDNER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (516) 727-1634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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