Organization · NPI-2
Crown Assisted Living Development
Assisted Living Facility · Tacoma, WA
NPI number1396130167
StatusActive
Last updated in NPPESMar 30, 2015
Details
- NPI
- 1396130167
- Entity type
- Organization (NPI-2)
- Legal business name
- Crown Assisted Living Development
- Organization subpart
- No
- Enumeration date
- Mar 30, 2015
- Last updated
- Mar 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 601457699 | WA | Yes |
Other names
- Life Manor Assisted Living Development (Doing Business As)
Practice location
1609 S Union AveTacoma, WA 98405-1937
Phone 253-779-3800 · Fax 253-779-3822
Mailing address
1609 S Union AveTacoma, WA 98405-1937
Phone 253-779-3800 · Fax 253-779-3822
Authorized official
Patricia A Walker
Executive Director
2537793800
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