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NPI 1154381358

NPI 1154381358 : RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE : SPOKANE, WA

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General NPI Number Information
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    NPI Number           |    1154381358
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE 
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Dates
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    Enumeration Date     |    03/23/2006
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    1841 E UPRIVER DR 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99207-5164
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    Country              |    US
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    Telephone            |    509-482-8137
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    Fax                  |    509-482-8176
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Provider Business Mailing Address
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    Address Line         |    1841 E UPRIVER DR 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99207-5164
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    Country              |    US
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    Telephone            |    509-482-8137
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    Fax                  |    509-482-8176
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Authorized Official
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    Title or Position    |    PRESIDENT AND CEO
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    Name                 |     DANIE MONICA MONAGHAN 
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    Credential           |    
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    Telephone            |    509-482-8120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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