| Organization Name: | RESCARE REHAB WITHOUT WALLS OUTPATIENT CENTER |
| NPI Number: | 1063827772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY MEYERS (ADMINISTRATIVE DIRECTOR) |
| Mailing Address: | 6912 220th St Sw Suite 200 Mountlake Terrace |
| State: | WA US |
| Postal Code: | 980432169 |
| Phone Number: | 4256722716 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2014 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | OT60437671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |