Organization · NPI-2

Belair Rehab, INC.

Skilled Nursing Facility · Tacoma, WA

NPI number1356324719
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1356324719
Entity type
Organization (NPI-2)
Legal business name
Belair Rehab, INC.
Organization subpart
No
Enumeration date
Nov 21, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityNH1247WAYes

Practice location

630 S Pearl St
Tacoma, WA 98465-2111

Phone 253-564-7111

Mailing address

25117 Sw Parkway Ave
Suite F
Wilsonville, OR 97070-9697

Authorized official

Karl Miller
Ceo
5035703405

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