Organization · NPI-2

Bd Tacoma I, LLC

Skilled Nursing Facility · Tacoma, WA

NPI number1316045537
StatusActive
Last updated in NPPESMay 15, 2015

Details

NPI
1316045537
Entity type
Organization (NPI-2)
Legal business name
Bd Tacoma I, LLC
Organization subpart
No
Enumeration date
Sep 20, 2006
Last updated
May 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityNH1298WAYes

Other names

  • Park Rose Care Center (Doing Business As)

Practice location

3919 S 19th St
Tacoma, WA 98405-1414

Phone 253-752-5677 · Fax 253-756-8936

Mailing address

3326 160th Ave Se
Suite 120
Bellevue, WA 98008-6418

Phone 425-392-4066 · Fax 425-623-1517

Authorized official

Doug Devore
Field Accountant
4253924066

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