Organization · NPI-2

Grand Park LLC

Assisted Living Facility · Tacoma, WA

NPI number1538569231
StatusActive
Last updated in NPPESAug 29, 2014

Details

NPI
1538569231
Entity type
Organization (NPI-2)
Legal business name
Grand Park LLC
Organization subpart
No
Enumeration date
Aug 29, 2014
Last updated
Aug 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility1251WAYes

Practice location

242 St Helens Ave
Tacoma, WA 98402-2514

Phone 253-473-2842

Mailing address

242 St Helens Ave
Tacoma, WA 98402-2514

Phone 253-627-3833

Authorized official

Donald Hansen
President
2534732842

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