| Organization Name: | STATE OF WA WA SOLDIERS HOME |
| NPI Number: | 1972594810 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERWIN B VIDALLON (CFO) |
| Mailing Address: | 1301 Orting/kapowsin Hwy Orting |
| State: | WA US |
| Postal Code: | 98360 |
| Phone Number: | 3608934500 |
| Fax Number: | 3608934590 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | N/A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |