Abc Elder Care INC
Registered Nurse in Puyallup, WA. Organization (NPI-2).
NPI number1023716487
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1023716487
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Elder Care INC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | – | – | Yes |
| 163WH0200X | Registered Nurse, Home Health | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – |
Other names
- Silver Creek Adult Family Home (Doing Business As)
Practice location
1130 11th St SwPuyallup, WA 98371-6702
Phone 253-315-9184
Mailing address
11517 36th St EEdgewood, WA 98372-2093
Authorized official
Romeo Belocura
Officer
2533159184
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