Wilderness Shores Nursing, LLC
NPI #1073745113 in Maple Valley, Washington
Provider Information
- NPI Number
- 1073745113
- Entity Type
- Organization
- Organization Name
- Wilderness Shores Nursing, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Aug 21, 2009
- Last Updated
- Aug 21, 2009
Practice Location
- Address
- 25614 LAKE WILDERNESS LN SE
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-6019
- Phone
- (206) 931-5284
Authorized Official
- Name
- MRS. SHIRLEY ANN MCMONAGLE
- Title
- ADMINISTRATOR
- Phone
- (206) 931-5284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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