Organization · NPI-2

Kings Manor Asst Manor LLC

Assisted Living Facility · Tacoma, WA

NPI number1467579250
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1467579250
Entity type
Organization (NPI-2)
Legal business name
Kings Manor Asst Manor LLC
Organization subpart
No
Enumeration date
Mar 25, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

8609 Portland Ave E
Tacoma, WA 98445-4187

Phone 253-538-7222 · Fax 503-485-1279

Mailing address

Po Box 3006
Salem, OR 97302-0006

Phone 503-485-8697 · Fax 503-485-1279

Authorized official

Jon Harder
President
5034854600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility providers in Tacoma, WA