Lsref Golden Ops 26 (wa), LLC
NPI #1568699197 in Port Orchard, Washington
Provider Information
- NPI Number
- 1568699197
- Entity Type
- Organization
- Organization Name
- Lsref Golden Ops 26 (wa), LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Jun 22, 2009
- Last Updated
- Jun 22, 2009
Practice Location
- Address
- 300 S KITSAP BLVD
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98366-3778
- Phone
- (360) 874-7400
Authorized Official
- Name
- WICK PETERSON
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (858) 775-5857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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