800 Medcalf Lane North Operations LLC
NPI #1386028397 in Montesano, Washington
Provider Information
- NPI Number
- 1386028397
- Entity Type
- Organization
- Organization Name
- 800 Medcalf Lane North Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 20, 2015
- Last Updated
- Mar 28, 2025
Practice Location
- Address
- 800 N MEDCALF LN
- City
- Montesano
- State
- Washington
- ZIP Code
- 98563-1318
- Phone
- (360) 249-2273
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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