Organization · NPI-2

Eliseo

Skilled Nursing Facility · Tacoma, WA

NPI number1891817342
StatusActive
Last updated in NPPESNov 6, 2024

Details

NPI
1891817342
Entity type
Organization (NPI-2)
Legal business name
Eliseo
Organization subpart
No
Enumeration date
Apr 4, 2007
Certification date
Nov 6, 2024
Last updated
Nov 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityNH601WAYes
310400000X Assisted Living FacilityBH1187WA

Other names

  • Tacoma Lutheran Home And Retirement Community (Former Legal Business Name)

Practice location

1301 N Highlands Pkwy
Tacoma, WA 98406-2116

Phone 253-752-7112 · Fax 253-752-7265

Mailing address

1301 N Highlands Pkwy
Tacoma, WA 98406-2116

Phone 253-752-7112 · Fax 253-752-7265

Authorized official

David Hoffman
Vice President Of Finance
2537567565

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