Park Manor Rehabilitation Center
LBN: Manor Park Healthcare Llc
Park Manor Rehabilitation Center is an health care organization with primary practice located at 1710 Plaza Way , Walla Walla WA 99362-4362. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Manor Park Healthcare Llc can be contacted via phone (509) 529-4218, or through Burnam, Soon via phone (949) 540-1249.
Contact Information
Primary practice address
1710 Plaza Way
Walla Walla WA 99362-4362
Phone: (509) 529-4218
Fax: (509) 522-1729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1342 | Washington |
Profile Details
| NPI number | 1558360024 |
|---|---|
| LBN Legal business name | Manor Park Healthcare Llc |
| DBA Doing business as | Park Manor Rehabilitation Center |
| Authorized official | Burnam, Soon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 23rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558360024 | NPPES |
| Washington | MEDICAID | 4113429 |
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