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NPI Code Detail

MEDICARE: CAROLINE KLINE GALLAND HOME

MEDICARE: CAROLINE KLINE GALLAND HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH658WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407863475
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINE KLINE GALLAND HOME
Provider Business Mailing Address
First Line : 7500 SEWARD PARK AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-4247
Country : US
Telephone Number : 206-725-8800
Fax Number : 206-722-5210
Provider Business Practice Location Address
First Line : 7500 SEWARD PARK AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-4247
Country : US
Telephone Number : 206-725-8800
Fax Number : 206-722-5210
Authorized Official
Title or Position : CEO
Name : MR. JEFFREY COHEN
Credential :
Telephone Number : 206-725-8800
Provider Enumeration Date : 08/02/2006
Last Update Date : 09/01/2025

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Directions to “CAROLINE KLINE GALLAND HOME ” Practice Location

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