Northwest Country Place, INC
NPI #1245227131 in Centralia, Washington
Provider Information
- NPI Number
- 1245227131
- Entity Type
- Organization
- Organization Name
- Northwest Country Place, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 5, 2005
- Last Updated
- Jun 13, 2011
Practice Location
- Address
- 917 S SCHEUBER RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9027
- Phone
- (360) 736-9384
Authorized Official
- Name
- MR. TERRY L. LENO
- Title
- ADMINISTRATOR
- Phone
- (360) 736-9384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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