Montesano Health And Rehabilitation Center
LBN: Revera (Delaware) Llc
Montesano Health And Rehabilitation Center is an health care organization with primary practice located at 800 N. Medcalf , Montesano WA 98563-1318. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Revera (Delaware) Llc can be contacted via phone (360) 249-2273, or through Scillia, Carole M via phone (203) 608-6100.
Contact Information
Primary practice address
800 N. Medcalf
Montesano WA 98563-1318
Phone: (360) 249-2273
Fax: (360) 249-2363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 050005680 | Washington |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1369 | Washington |
Profile Details
| NPI number | 1245228444 |
|---|---|
| LBN Legal business name | Revera (Delaware) Llc |
| DBA Doing business as | Montesano Health And Rehabilitation Center |
| Authorized official | Scillia, Carole M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | May 20th, 2011 - about 15 years ago |
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 | 1245228444 | NPPES |
| Washington | MEDICAID | 4113692 |
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