Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareP.C. JAIL CLINIC
Custodial Care Facility
Tacoma, Washington
Provider NPI: 1699828103
Organization Information:Organization Name: P.C. JAIL CLINIC
Practice Location:
910 TACOMA AVE S TACOMA, WA 98402 US
Tel: 253-798-4033 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
910 TACOMA AVE S TACOMA, WA 98402 US
Tel: 253-798-4033 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICAL LICENSE | MD00034248 | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
