IndividualActive
Brian Newberry
NPI 1861884660 · Skilled Nursing Facility · Lacey, WA
Provider details
- NPI number
- 1861884660
- Entity type
- Individual
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1505 Carpenter Rd Se
Lacey, WA 98503-2906
Phone: (360) 491-1765
Approximate (ZIP-level) locationGet directions
Mailing address
1505 Carpenter Rd Se
Lacey, WA 98503-2906
Registry dates
- Enumerated
- 2015-03-03
- Last updated
- 2015-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.