Manor Park Healthcare Llc in Walla Walla - Nursing Facility/intermediate Care Facility

Manor Park Healthcare Llc - NPI 1558360024

Manor Park Healthcare Llc is a Nursing Facility/intermediate Care Facility in Walla Walla, Washington. Manor Park Healthcare Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Manor Park Healthcare Llc is 1558360024. The last update date is 2023-05-23.

Manor Park Healthcare Llc's current location address is 1710 Plaza Way, Walla Walla, Washington. You can contact this provider via phone number 5095294218 and fax number 5095221729. The mailing address for Manor Park Healthcare Llc is 1710 Plaza Way, Walla Walla, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Manor Park Healthcare Llc
Address 1710 Plaza Way, Walla Walla, Washington
Phone Number 5095294218
Fax Number 5095221729
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREASURER
Authorized Official Name Burnam Soon
Telephone Number 9495401249

NPI Number Detail

NPI Number 1558360024
Provider Enumeration Date 2005-07-18
Last Updated Date 2023-05-23

Provider Mailing Address Detail

Address 1710 Plaza Way
City Walla Walla
State Washington (WA)
Post Code 993624362
Phone Number 5095294218
Fax Number 5095221729

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4113429 WA --

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FAQs about Manor Park Healthcare Llc

What is the Manor Park Healthcare Llc's 1558360024?

The Manor Park Healthcare Llc's NPI (National Provider Identifier) Number is 1558360024. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Manor Park Healthcare Llc is geographically located?

The Manor Park Healthcare Llc is physically situated at the following location: 1710 Plaza Way, Walla Walla, WA, 993624362.

What is Manor Park Healthcare Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Manor Park Healthcare Llc is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558360024 to Manor Park Healthcare Llc?

The Centers for Medicare & Medicaid Services originally issued the 1558360024 to Manor Park Healthcare Llc on 2005-07-18.

When was the information regarding Manor Park Healthcare Llc most recently updated?

The details pertaining to the Manor Park Healthcare Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-05-23.

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