Manor Park Healthcare LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1558360024

Manor Park Healthcare LLC is a Nursing Facility/Intermediate Care Facility in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in: WA
In the registry since: 2005
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1710 Plaza Way
Walla Walla, WA 99362-4362
Phone: (509) 529-4218
Fax: (509) 522-1729

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary)	Taxonomy 314000000X · Licence 1342 (WA)
Nursing Facility/Intermediate Care Facility	Taxonomy 313M00000X

Record details

NPI number	1558360024
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Soon Burnam — Treasurer · (949) 540-1249
Other names	Park Manor Rehabilitation Center; Park Manor Rehabilitation Center
NPI enumerated	July 18, 2005
Last updated in NPPES	May 23, 2023
Certification date	May 23, 2023
Mailing address	1710 Plaza Way, Walla Walla, WA 99362-4362

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

John Casey Heffernan, DO Internal Medicine Physician · Walla Walla, WA
Mr. Robert G. Morasch, MD Family Medicine Physician · Walla Walla, WA
Dr. Oleksandr Seleverstov, MD Internal Medicine Physician · College Place, WA