Fmg Clare Avenue Washington LLC
NPI #1245638543 in Bremerton, Washington
Provider Information
- NPI Number
- 1245638543
- Entity Type
- Organization
- Organization Name
- Fmg Clare Avenue Washington LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Nov 7, 2017
Practice Location
- Address
- 2701 CLARE AVE
- City
- Bremerton
- State
- Washington
- ZIP Code
- 98310-3313
- Phone
- (360) 377-3951
Authorized Official
- Name
- DAVID C. KEATING
- Title
- AGENT
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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