- Enrollment id
- O20240918000979
- Enrollment state
- WA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1760221188
- Multiple npi flag
- N
- Ccn
- 505514
- Associate id
- 7315488327
- Organization name
- RICHLAND SNF HEALTHCARE LLC
- Doing business as name
- RICHLAND POST ACUTE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- RICHLAND POST ACUTE
- Affiliation entity name
- PACS GROUP
- Affiliation entity id
- 690
- Address line 1
- 1745 PIKE AVE
- City
- RICHLAND
- State
- WA
- Zip code
- 993542295