Fmg Alexander Street Washington LLC
NPI #1912305202 in Centralia, Washington
Provider Information
- NPI Number
- 1912305202
- Entity Type
- Organization
- Organization Name
- Fmg Alexander Street Washington LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1305 ALEXANDER ST
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-1305
- Phone
- (360) 736-2823
Authorized Official
- Name
- DAVID C. KEATING
- Title
- AGENT
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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