North Lake 5-O, LLC
NPI #1447647482 in Shoreline, Washington
Provider Information
- NPI Number
- 1447647482
- Entity Type
- Organization
- Organization Name
- North Lake 5-O, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 16, 2015
- Last Updated
- Jul 13, 2015
Practice Location
- Address
- 2818 NE 145TH ST
- City
- Shoreline
- State
- Washington
- ZIP Code
- 98155-7556
- Phone
- (206) 418-2900
Authorized Official
- Name
- BRIAN NEWBERRY
- Title
- MANAGER
- Phone
- (801) 899-5364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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