Puyallup Care Center, Inc in Puyallup - Skilled Nursing Facility

Puyallup Care Center, Inc - NPI 1699760025

Puyallup Care Center, Inc is a Skilled Nursing Facility in Puyallup, Washington. Puyallup Care Center, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Puyallup Care Center, Inc is 1699760025. The last update date is 2012-11-16.

Puyallup Care Center, Inc's current location address is 516 23rd Ave Se, Puyallup, Washington. You can contact this provider via phone number 2538456631 and fax number 2538481357. The mailing address for Puyallup Care Center, Inc is 516 23rd Ave Se, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Puyallup Care Center, Inc
Address 516 23rd Ave Se, Puyallup, Washington
Phone Number 2538456631
Fax Number 2538481357
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EX VP OF F
Authorized Official Name Vislocky J Gregory
Telephone Number 3607357155

NPI Number Detail

NPI Number 1699760025
Provider Enumeration Date 2005-09-12
Last Updated Date 2012-11-16

Provider Mailing Address Detail

Address 516 23rd Ave Se
City Puyallup
State Washington (WA)
Post Code 983724659
Phone Number 2538456631
Fax Number 2538481357

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NH1376
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4113767 WA --
4114344 WA --

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FAQs about Puyallup Care Center, Inc

What is the unique identifier code issued to Puyallup Care Center, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Puyallup Care Center, Inc has been assigned the NPI (National Provider Identifier) 1699760025. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Puyallup Care Center, Inc is physically located?

The Puyallup Care Center, Inc is situated at the following address: 516 23Rd Ave Se, Puyallup, WA 983724659.

What is Puyallup Care Center, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Puyallup Care Center, Inc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699760025 to Puyallup Care Center, Inc?

The Puyallup Care Center, Inc received its 1699760025 assignment from the Centers for Medicare & Medicaid Services on 2005-09-12.

As of what date were the details related to Puyallup Care Center, Inc most recently updated or revised?

The information pertaining to Puyallup Care Center, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-16.

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