Revera (delaware) LLC
NPI #1245228444 in Montesano, Washington
Provider Information
- NPI Number
- 1245228444
- Entity Type
- Organization
- Organization Name
- Revera (delaware) LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 11, 2005
- Last Updated
- May 20, 2011
Practice Location
- Address
- 800 N. MEDCALF
- City
- Montesano
- State
- Washington
- ZIP Code
- 98563-1318
- Phone
- (360) 249-2273
Authorized Official
- Name
- CAROLE M SCILLIA
- Title
- LLC MANAGER
- Phone
- (203) 608-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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